Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $14.53 / $17.55	Facility		$13.21	$14.53	$17.55
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $75.20 / $85.23 / $155.10	Facility	CQ	$75.20	$85.23	$155.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $13.21 / $23.59	Professional		$8.31	$13.21	$23.59
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.29 / $16.79 / $16.79	Professional	CQ	$7.29	$16.79	$16.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $14.65 / $21.53	Facility		$13.08	$14.65	$21.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $14.39 / $30.32	Professional		$13.08	$14.39	$30.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Facility		$16.00	$16.00	$16.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $13.31 / $13.31 / $13.31	Facility	CQ	$13.31	$13.31	$13.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $70.00 / $114.99	Professional		$11.39	$70.00	$114.99
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $46.21 / $46.21 / $84.39	Facility	CQ	$46.21	$46.21	$84.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.52 / $19.60	Professional		$9.03	$12.52	$19.60