Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $60.00 / $345.91	Facility		$29.97	$60.00	$345.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $27.66 / $41.04	Professional		$20.62	$27.66	$41.04
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $155.47 / $155.47 / $155.47	Professional	CQ	$155.47	$155.47	$155.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $101.64 / $512.33	Facility		$51.33	$101.64	$512.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $35.96 / $38.34	Professional		$33.54	$35.96	$38.34
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 $29.05 / $56.20 / $111.17	Professional		$29.05	$56.20	$111.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $52.28 / $102.74	Professional		$34.85	$52.28	$102.74
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 $45.31 / $46.07 / $48.71	Professional		$45.31	$46.07	$48.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.46	Professional		$32.34	$32.34	$52.46
United Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $35.29 / $51.48	Professional		$31.96	$35.29	$51.48