Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $52.85 / $86.24	Facility		$20.75	$52.85	$86.24
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $134.22 / $134.22 / $186.80	Facility	CQ	$134.22	$134.22	$186.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $20.75 / $33.84	Professional		$14.98	$20.75	$33.84
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $16.10 / $19.71 / $46.44	Professional	CQ	$16.10	$19.71	$46.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $54.46 / $102.90	Facility		$23.22	$54.46	$102.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $25.26 / $36.92	Professional		$21.00	$25.26	$36.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $40.00 / $120.00	Facility		$18.89	$40.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $43.41 / $113.94	Professional		$19.03	$43.41	$113.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $26.00 / $43.17	Facility		$19.80	$26.00	$43.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $20.00 / $23.77	Professional		$18.00	$20.00	$23.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $35.78 / $35.78	Professional		$35.78	$35.78	$35.78
United Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $26.38 / $29.46	Professional		$22.26	$26.38	$29.46