Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $14.11 / $133.53	Facility		$9.96	$14.11	$133.53
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $17.47 / $141.40 / $315.00	Facility	CQ	$17.47	$141.40	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $9.67 / $20.88	Professional		$7.83	$9.67	$20.88
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.74 / $9.06 / $81.08	Professional	CQ	$8.74	$9.06	$81.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $39.20 / $120.33	Facility		$19.84	$39.20	$120.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $9.00 / $9.00	Professional		$8.55	$9.00	$9.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Professional		$11.31	$11.31	$11.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $15.23 / $39.89	Professional		$10.88	$15.23	$39.89
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 $15.35 / $15.43 / $16.64	Professional		$15.35	$15.43	$16.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $32.34 / $32.34	Professional		$17.41	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.48 / $28.72	Professional		$12.18	$15.48	$28.72