Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $36.77 / $42.10	Facility		$21.90	$36.77	$42.10
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $47.65 / $47.65 / $47.65	Facility	CQ	$47.65	$47.65	$47.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.20 / $49.06	Professional		$14.40	$20.20	$49.06
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.46 / $38.93 / $587.05	Professional	CQ	$19.46	$38.93	$587.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $216.42 / $371.14	Facility		$62.11	$216.42	$371.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $24.01 / $29.43	Professional		$20.69	$24.01	$29.43
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 $20.43 / $29.89 / $45.57	Professional		$20.43	$29.89	$45.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.41 / $90.00	Professional		$32.34	$41.41	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $29.36 / $70.00	Facility		$23.43	$29.36	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $29.89 / $43.87	Professional		$20.43	$29.89	$43.87
United Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $28.71 / $32.22	Professional		$24.53	$28.71	$32.22