Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $17.72 / $20.29	Facility		$10.56	$17.72	$20.29
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $190.16 / $190.16 / $418.50	Facility	CQ	$190.16	$190.16	$418.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $13.09 / $27.97	Professional		$8.11	$13.09	$27.97
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $9.43 / $9.43 / $9.43	Professional	CQ	$9.43	$9.43	$9.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $103.53 / $300.00	Facility		$29.71	$103.53	$300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.40 / $14.08	Professional		$9.90	$11.40	$14.08
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 $9.34 / $13.93 / $20.14	Professional		$9.34	$13.93	$20.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $32.34 / $90.00	Professional		$19.80	$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 $9.34 / $14.01 / $20.14	Professional		$9.34	$14.01	$20.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $13.91 / $16.03	Professional		$11.54	$13.91	$16.03