Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $48.26 / $109.28	Facility		$25.25	$48.26	$109.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $23.19 / $31.20	Professional		$17.48	$23.19	$31.20
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.41 / $87.41 / $87.41	Professional	CO	$87.41	$87.41	$87.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.01 / $76.78 / $382.37	Facility		$40.01	$76.78	$382.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $32.19 / $32.76	Professional		$32.18	$32.19	$32.76
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 $23.77 / $44.11 / $108.10	Professional		$23.77	$44.11	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $44.31 / $74.68	Professional		$29.54	$44.31	$74.68
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 $38.40 / $38.83 / $40.96	Professional		$38.40	$38.83	$40.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $44.11	Professional		$32.34	$32.34	$44.11
United Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $30.05 / $43.70	Professional		$24.34	$30.05	$43.70