Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $54.28 / $183.54	Facility		$36.00	$54.28	$183.54
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $28.28 / $113.56 / $120.20	Facility	CO	$28.28	$113.56	$120.20
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $78.03 / $163.28 / $675.70	Facility	CQ	$78.03	$163.28	$675.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.41 / $29.94	Professional		$12.00	$19.41	$29.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $84.63 / $116.06	Professional		$30.69	$84.63	$116.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Highmark BCBS Facility/Professional Facility Modifier CO Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	CO	$59.33	$59.33	$59.33
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $51.25 / $51.25 / $104.30	Facility	CQ	$51.25	$51.25	$104.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $26.74 / $27.04	Professional		$26.74	$26.74	$27.04
United Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $30.23 / $70.00	Professional		$23.52	$30.23	$70.00