Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $28.13 / $93.16	Facility		$14.53	$28.13	$93.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $13.90 / $19.62	Professional		$10.74	$13.90	$19.62
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.45 / $17.45 / $28.25	Professional	CQ	$17.45	$17.45	$28.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $59.20 / $248.41	Facility		$29.34	$59.20	$248.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $19.13 / $21.44	Professional		$17.30	$19.13	$21.44
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 $15.28 / $25.36 / $106.98	Professional		$15.28	$25.36	$106.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $25.26 / $60.07	Professional		$17.07	$25.26	$60.07
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 $21.98 / $22.00 / $23.45	Professional		$21.98	$22.00	$23.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $32.34 / $32.34	Professional		$22.19	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $17.07 / $27.38	Professional		$15.52	$17.07	$27.38