Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $47.68 / $141.88	Facility		$23.98	$47.68	$141.88
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $76.77 / $99.76 / $185.60	Facility	CQ	$76.77	$99.76	$185.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.94 / $37.15	Professional		$14.40	$20.94	$37.15
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.46 / $26.32 / $587.05	Professional	CQ	$19.46	$26.32	$587.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $73.20 / $323.31	Facility		$39.86	$73.20	$323.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.72 / $31.32	Professional		$28.18	$29.72	$31.32
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 $23.84 / $44.31 / $102.90	Professional		$23.84	$44.31	$102.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $41.54 / $66.45	Professional		$27.69	$41.54	$66.45
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 $36.00 / $36.36 / $38.40	Professional		$36.00	$36.36	$38.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $41.36	Professional		$32.34	$32.34	$41.36
United Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $27.52 / $40.31	Professional		$22.10	$27.52	$40.31