Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $272.55 / $365.97	Facility		$58.60	$272.55	$365.97
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $227.68 / $374.54 / $374.54	Facility	CO	$227.68	$374.54	$374.54
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $158.78 / $318.89 / $371.49	Facility	CQ	$158.78	$318.89	$371.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $22.73 / $59.85	Professional		$12.00	$22.73	$59.85
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $18.23 / $18.23 / $18.23	Professional	CO	$18.23	$18.23	$18.23
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $24.41 / $44.05 / $49.81	Professional	CQ	$24.41	$44.05	$49.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $64.16 / $75.48	Professional		$56.27	$64.16	$75.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $31.35 / $39.04	Professional		$25.08	$31.35	$39.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.58 / $53.00 / $132.30	Facility		$29.58	$53.00	$132.30
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 $29.02 / $37.04 / $65.72	Professional		$29.02	$37.04	$65.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $31.11 / $61.54	Professional		$26.36	$31.11	$61.54