Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.10 / $227.17 / $442.03	Facility		$42.10	$227.17	$442.03
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $161.94 / $161.94 / $1,170.41	Facility	CO	$161.94	$161.94	$1,170.41
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $71.27 / $295.63 / $387.04	Facility	CQ	$71.27	$295.63	$387.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $23.98 / $163.15	Professional		$12.00	$23.98	$163.15
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $17.73 / $58.40 / $58.40	Professional	CO	$17.73	$58.40	$58.40
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $31.25 / $48.22 / $354.83	Professional	CQ	$31.25	$48.22	$354.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $216.42 / $371.14	Facility		$62.11	$216.42	$371.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $27.14 / $29.43	Professional		$20.69	$27.14	$29.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $33.17 / $49.35	Professional		$23.07	$33.17	$49.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.41 / $95.00	Professional		$32.34	$41.41	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $33.17 / $49.35	Professional		$23.07	$33.17	$49.35
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $31.40 / $36.92	Professional		$27.30	$31.40	$36.92