Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.48 / $310.64 / $522.64	Facility		$98.48	$310.64	$522.64
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $96.28 / $665.52 / $665.52	Facility	CO	$96.28	$665.52	$665.52
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $64.06 / $121.10 / $459.14	Facility	CQ	$64.06	$121.10	$459.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $57.08 / $119.94	Professional		$17.39	$57.08	$119.94
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.22 / $69.97 / $174.05	Professional	CQ	$30.22	$69.97	$174.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $30.32 / $44.52	Facility		$26.98	$30.32	$44.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $29.68 / $62.56	Professional		$26.98	$29.68	$62.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $36.54 / $36.54	Facility		$36.54	$36.54	$36.54
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CO	$27.88	$27.88	$27.88
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $80.01 / $116.06	Professional		$25.09	$80.01	$116.06
Highmark BCBS Facility/Professional Facility Modifier CO Low / Median / High Price $21.32 / $92.22 / $144.53	Facility	CO	$21.32	$92.22	$144.53
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $23.90 / $84.32 / $125.39	Facility	CQ	$23.90	$84.32	$125.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $28.25 / $28.25	Professional		$28.25	$28.25	$28.25
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $28.03 / $63.21	Professional		$20.66	$28.03	$63.21