Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $26.24 / $26.24	Facility		$26.24	$26.24	$26.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $13.00 / $68.00	Professional		$10.89	$13.00	$68.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $13.02 / $15.58 / $15.58	Professional	CQ	$13.02	$15.58	$15.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $22.08 / $22.08	Professional		$20.98	$22.08	$22.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $25.21 / $25.21	Facility		$22.08	$25.21	$25.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $18.77 / $22.26	Professional		$12.84	$18.77	$22.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $25.21 / $25.21	Facility		$22.08	$25.21	$25.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $19.25 / $27.04	Professional		$13.59	$19.25	$27.04
United Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $15.52 / $17.85	Professional		$15.12	$15.52	$17.85