Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.55 / $225.68 / $272.64	Facility		$42.55	$225.68	$272.64
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $104.44 / $104.44 / $153.60	Facility	CQ	$104.44	$104.44	$153.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $26.85 / $187.90	Professional		$14.40	$26.85	$187.90
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $25.39 / $25.39 / $25.39	Professional	CO	$25.39	$25.39	$25.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $41.43 / $366.84 / $1,719.53	Professional	CQ	$41.43	$366.84	$1,719.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.14 / $247.88 / $425.09	Facility		$71.14	$247.88	$425.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $28.32 / $33.72	Professional		$23.70	$28.32	$33.72
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 $24.10 / $34.65 / $51.44	Professional		$24.10	$34.65	$51.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.43 / $90.00	Professional		$32.34	$47.43	$90.00
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 $24.10 / $34.65 / $51.44	Professional		$24.10	$34.65	$51.44
United Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $33.67 / $37.38	Professional		$28.85	$33.67	$37.38