Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.53 / $163.44 / $383.76	Facility		$121.53	$163.44	$383.76
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $118.34 / $242.68 / $754.20	Facility	CQ	$118.34	$242.68	$754.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $32.20 / $272.00	Professional		$14.40	$32.20	$272.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $35.07 / $35.07 / $35.07	Professional	CO	$35.07	$35.07	$35.07
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $34.83 / $39.35 / $92.36	Professional	CQ	$34.83	$39.35	$92.36
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 $50.45 / $53.11 / $53.11	Professional		$50.45	$53.11	$53.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.11 / $58.62 / $58.62	Facility		$53.11	$58.62	$58.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $45.14 / $53.11	Professional		$28.52	$45.14	$53.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.11 / $58.62 / $58.62	Facility		$53.11	$58.62	$58.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $46.29 / $63.51	Professional		$31.91	$46.29	$63.51
United Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $36.09 / $36.09	Professional		$30.24	$36.09	$36.09