Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.46 / $63.46 / $63.46	Facility		$63.46	$63.46	$63.46
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $92.15 / $92.15 / $120.60	Facility	CQ	$92.15	$92.15	$120.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.03 / $121.00	Professional		$14.40	$19.03	$121.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.66 / $21.66 / $25.80	Professional	CQ	$21.66	$21.66	$25.80
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 $43.96 / $46.27 / $46.27	Professional		$43.96	$46.27	$46.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.27 / $50.41 / $50.41	Facility		$46.27	$50.41	$50.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $39.33 / $46.27	Professional		$24.86	$39.33	$46.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $28.78 / $50.41	Facility		$19.82	$28.78	$50.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $39.86 / $55.33	Professional		$27.74	$39.86	$55.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $31.04 / $31.04	Professional		$25.81	$31.04	$31.04