Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $181.97 / $323.59	Facility		$31.62	$181.97	$323.59
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $61.66 / $144.54 / $398.11	Facility	CQ	$61.66	$144.54	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $83.18	Professional		$19.95	$44.67	$83.18
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $47.86 / $47.86 / $47.86	Professional	CO	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.18 / $50.12 / $85.11	Professional	CQ	$28.18	$50.12	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $51.29	Facility		$30.90	$38.90	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $72.44	Professional		$30.90	$33.88	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $100.00	Facility		$52.48	$52.48	$100.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $154.88	Professional		$24.55	$44.67	$154.88
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $75.86 / $109.65 / $162.18	Facility	CQ	$75.86	$109.65	$162.18
Highmark BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	CQ	$34.67	$34.67	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $44.67	Professional		$23.44	$30.90	$44.67