Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $247.59 / $421.44	Facility		$26.20	$247.59	$421.44
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $364.50 / $364.50 / $364.50	Facility	CO	$364.50	$364.50	$364.50
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $35.57 / $87.93 / $419.80	Facility	CQ	$35.57	$87.93	$419.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $25.16 / $228.00	Professional		$12.00	$25.16	$228.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $31.92 / $42.64 / $50.53	Professional	CQ	$31.92	$42.64	$50.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $30.69 / $75.00	Professional		$19.19	$30.69	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60.00 / $70.00	Facility		$55.00	$60.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $37.00 / $113.94	Professional		$20.12	$37.00	$113.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $31.36 / $52.82	Professional		$0.25	$31.36	$52.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $29.02 / $43.53	Professional		$0.25	$29.02	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $31.40 / $43.05	Professional		$24.65	$31.40	$43.05