Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $78.91 / $249.24	Facility		$49.12	$78.91	$249.24
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $63.75 / $334.65 / $918.16	Facility	CQ	$63.75	$334.65	$918.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $33.38 / $206.21	Professional		$12.00	$33.38	$206.21
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.24 / $46.06 / $70.11	Professional	CQ	$30.24	$46.06	$70.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $46.27 / $46.27	Professional		$39.33	$46.27	$46.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.27 / $51.00 / $51.00	Facility		$46.27	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $39.33 / $46.27	Professional		$24.86	$39.33	$46.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.27 / $51.00 / $51.00	Facility		$46.27	$51.00	$51.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $39.86 / $55.33	Professional		$27.74	$39.86	$55.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $31.40 / $36.11	Professional		$29.13	$31.40	$36.11