Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $199.75 / $313.95	Facility		$45.62	$199.75	$313.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $28.85 / $41.78	Professional		$15.84	$28.85	$41.78
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $86.71 / $86.71 / $86.71	Professional	CQ	$86.71	$86.71	$86.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $268.42 / $460.31	Facility		$77.04	$268.42	$460.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $30.68 / $36.50	Professional		$25.66	$30.68	$36.50
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 $30.01 / $43.14 / $65.02	Professional		$30.01	$43.14	$65.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $90.00	Professional		$32.34	$32.34	$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 $30.01 / $43.14 / $65.02	Professional		$30.01	$43.14	$65.02
United Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $39.70 / $43.78	Professional		$33.75	$39.70	$43.78