Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $82.53 / $143.93	Facility		$24.96	$82.53	$143.93
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $23.12 / $73.27 / $139.16	Facility	CQ	$23.12	$73.27	$139.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.20 / $36.39	Professional		$14.40	$20.20	$36.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.50 / $38.50 / $69.93	Professional	CQ	$19.50	$38.50	$69.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $29.17 / $112.00	Facility		$20.80	$29.17	$112.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $20.80 / $30.54	Professional		$16.64	$20.80	$30.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.04 / $38.56	Facility		$27.54	$33.04	$38.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.11 / $37.18	Professional		$27.54	$31.11	$37.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $95.00	Facility		$65.00	$75.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $39.88 / $108.10	Professional		$21.82	$39.88	$108.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $26.38 / $32.38	Professional		$22.40	$26.38	$32.38