Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $129.83 / $389.19	Facility		$30.83	$129.83	$389.19
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $65.17 / $162.58 / $369.52	Facility	CO	$65.17	$162.58	$369.52
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $58.53 / $121.10 / $458.09	Facility	CQ	$58.53	$121.10	$458.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $25.16 / $82.83	Professional		$13.20	$25.16	$82.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.71 / $19.71 / $19.71	Professional	25	$19.71	$19.71	$19.71
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $42.19 / $51.32 / $60.53	Professional	CO	$42.19	$51.32	$60.53
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.33 / $49.81 / $100.12	Professional	CQ	$28.33	$49.81	$100.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $76.30 / $112.00	Facility		$48.20	$76.30	$112.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $26.95 / $48.01	Professional		$20.37	$26.95	$48.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $68.00 / $85.00	Facility		$60.00	$68.00	$85.00
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CO	$27.88	$27.88	$27.88
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $45.72 / $111.17	Professional		$25.08	$45.72	$111.17
United Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Facility		$115.00	$115.00	$115.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $30.46 / $43.71	Professional		$24.47	$30.46	$43.71