Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $77.81 / $414.97	Facility		$23.28	$77.81	$414.97
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $52.85 / $100.30 / $260.10	Facility	CQ	$52.85	$100.30	$260.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $22.08 / $53.20	Professional		$15.53	$22.08	$53.20
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $36.39 / $84.86 / $154.22	Professional	CO	$36.39	$84.86	$154.22
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.82 / $38.38 / $144.50	Professional	CQ	$17.82	$38.38	$144.50
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $19.63 / $20.93 / $28.07	Professional	CQ	$19.63	$20.93	$28.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $78.08 / $231.89	Facility		$45.19	$78.08	$231.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $19.26 / $25.16	Professional		$18.84	$19.26	$25.16
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 $24.68 / $45.00 / $108.10	Professional		$24.68	$45.00	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $39.24 / $77.05	Professional		$26.40	$39.24	$77.05
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 $34.01 / $34.32 / $36.27	Professional		$34.01	$34.32	$36.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $39.06	Professional		$32.34	$32.34	$39.06
United Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $25.98 / $43.32	Professional		$23.10	$25.98	$43.32