Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $20.60 / $185.25	Facility		$11.51	$20.60	$185.25
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $13.34 / $99.71 / $169.79	Facility	CQ	$13.34	$99.71	$169.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.89 / $18.14	Professional		$8.11	$10.89	$18.14
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.36 / $40.08 / $71.70	Professional	CQ	$11.36	$40.08	$71.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $39.61 / $157.78	Facility		$21.14	$39.61	$157.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $14.19 / $15.20	Professional		$13.73	$14.19	$15.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $22.39 / $107.04	Professional		$11.72	$22.39	$107.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $20.14 / $51.49	Professional		$13.50	$20.14	$51.49
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $17.46 / $18.77	Professional		$17.42	$17.46	$18.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $32.34 / $32.34	Professional		$17.76	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $13.14 / $21.28	Professional		$11.08	$13.14	$21.28