Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $130.78 / $444.95	Facility		$23.23	$130.78	$444.95
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $60.38 / $62.92 / $305.00	Facility	CO	$60.38	$62.92	$305.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $55.12 / $90.95 / $439.95	Facility	CQ	$55.12	$90.95	$439.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $31.53 / $187.95	Professional		$12.00	$31.53	$187.95
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $32.46 / $50.53 / $88.42	Professional	CQ	$32.46	$50.53	$88.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $56.07 / $125.27	Facility		$20.10	$56.07	$125.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $31.11 / $62.85	Professional		$17.12	$31.11	$62.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $58.00 / $82.00	Facility		$55.00	$58.00	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $60.80 / $108.29	Professional		$26.03	$60.80	$108.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $28.81 / $134.74	Facility		$19.36	$28.81	$134.74
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CO	$56.39	$114.53	$114.53
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CQ	$56.39	$114.53	$114.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $29.65 / $84.00	Professional		$21.83	$29.65	$84.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $30.03 / $41.87	Professional		$26.10	$30.03	$41.87