Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $18.45 / $227.00	Facility		$10.18	$18.45	$227.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $12.24 / $23.31	Professional		$9.72	$12.24	$23.31
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $47.28 / $58.41 / $68.56	Professional	CQ	$47.28	$58.41	$68.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $58.13 / $107.51	Facility		$26.63	$58.13	$107.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $19.00 / $25.25	Professional		$13.67	$19.00	$25.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $40.00 / $120.00	Facility		$23.00	$40.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $27.22 / $114.99	Professional		$11.70	$27.22	$114.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $16.71 / $27.20	Facility		$10.19	$16.71	$27.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.30 / $20.00	Professional		$15.00	$15.30	$20.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $17.77 / $17.77	Professional		$17.77	$17.77	$17.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $14.47 / $18.42	Professional		$12.13	$14.47	$18.42