Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $16.57 / $227.00	Facility		$10.09	$16.57	$227.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $72.48 / $72.48 / $72.48	Facility	CQ	$72.48	$72.48	$72.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $11.88 / $19.71	Professional		$8.48	$11.88	$19.71
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $68.56 / $68.56 / $68.56	Professional	CO	$68.56	$68.56	$68.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $13.85 / $58.41 / $68.56	Professional	CQ	$13.85	$58.41	$68.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.93 / $53.92 / $115.10	Facility		$22.93	$53.92	$115.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $15.00 / $19.67	Professional		$13.26	$15.00	$19.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $40.00 / $120.00	Facility		$20.00	$40.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $20.96 / $114.99	Professional		$9.02	$20.96	$114.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $12.40 / $22.77	Facility		$10.10	$12.40	$22.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $12.00 / $20.00	Professional		$11.69	$12.00	$20.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $12.58 / $14.30	Professional		$10.36	$12.58	$14.30