Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $70.62 / $215.12	Facility		$26.71	$70.62	$215.12
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $54.69 / $305.58 / $362.50	Facility	CO	$54.69	$305.58	$362.50
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $70.70 / $100.30 / $401.20	Facility	CQ	$70.70	$100.30	$401.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $24.45 / $40.03	Professional		$14.98	$24.45	$40.03
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $66.50 / $70.01 / $70.01	Professional	CO	$66.50	$70.01	$70.01
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $36.01 / $36.04 / $40.33	Professional	CQ	$36.01	$36.04	$40.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $89.10 / $394.69	Facility		$45.21	$89.10	$394.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $33.56 / $34.65	Professional		$33.54	$33.56	$34.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $108.00	Facility		$55.00	$70.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $49.32 / $108.10	Professional		$28.91	$49.32	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $45.58 / $73.54	Professional		$30.82	$45.58	$73.54
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 $39.83 / $40.39 / $42.71	Professional		$39.83	$40.39	$42.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $45.99	Professional		$32.34	$32.34	$45.99
United Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $31.03 / $46.36	Professional		$26.19	$31.03	$46.36