Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $13.56 / $16.95	Facility		$8.78	$13.56	$16.95
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $484.45 / $484.45 / $484.45	Facility	CQ	$484.45	$484.45	$484.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $13.56 / $15.84	Professional		$8.78	$13.56	$15.84
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.87 / $7.87 / $7.87	Professional	CQ	$7.87	$7.87	$7.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $86.49 / $148.33	Facility		$24.83	$86.49	$148.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.85 / $13.45	Professional		$8.27	$10.85	$13.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $18.45 / $29.20	Professional		$11.59	$18.45	$29.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $32.34 / $90.00	Professional		$16.55	$32.34	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $19.29 / $29.20	Professional		$12.17	$19.29	$29.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $15.15 / $19.73	Professional		$12.60	$15.15	$19.73