Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.47 / $73.22 / $164.12	Facility		$54.47	$73.22	$164.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $54.32 / $73.22	Professional		$47.67	$54.32	$73.22
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $47.06 / $47.06 / $47.06	Professional	CO	$47.06	$47.06	$47.06
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $316.02 / $316.02 / $316.02	Professional	CQ	$316.02	$316.02	$316.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $92.89 / $586.88	Facility		$53.24	$92.89	$586.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $51.97 / $58.10	Professional		$46.76	$51.97	$58.10
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 $41.63 / $65.75 / $108.10	Professional		$41.63	$65.75	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $70.86 / $188.55	Professional		$46.22	$70.86	$188.55
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 $61.41 / $62.99 / $66.77	Professional		$61.41	$62.99	$66.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $71.90	Professional		$32.34	$32.34	$71.90
United Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $47.90 / $77.20	Professional		$41.96	$47.90	$77.20