Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $81.55 / $293.92	Facility		$29.54	$81.55	$293.92
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $59.00 / $142.00 / $477.75	Facility	CQ	$59.00	$142.00	$477.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $25.54 / $53.62	Professional		$16.32	$25.54	$53.62
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $25.39 / $25.39 / $25.39	Professional	CO	$25.39	$25.39	$25.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.95 / $68.31 / $366.84	Professional	CQ	$27.95	$68.31	$366.84
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $33.06 / $33.06 / $33.06	Professional	CQ	$33.06	$33.06	$33.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $87.12 / $370.74	Facility		$44.96	$87.12	$370.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $32.17 / $33.86	Professional		$29.54	$32.17	$33.86
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 $27.71 / $50.42 / $108.29	Professional		$27.71	$50.42	$108.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $46.17 / $82.05	Professional		$31.14	$46.17	$82.05
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 $40.01 / $40.47 / $42.67	Professional		$40.01	$40.47	$42.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $48.25	Professional		$32.34	$32.34	$48.25
United Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $31.51 / $45.94	Professional		$25.99	$31.51	$45.94