Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $30.27 / $91.00	Facility		$23.73	$30.27	$91.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $76.00 / $135.00 / $142.40	Facility	CQ	$76.00	$135.00	$142.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $21.36 / $47.12	Professional		$13.00	$21.36	$47.12
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.63 / $36.72 / $88.48	Professional	CQ	$17.63	$36.72	$88.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $27.97 / $36.36	Facility		$27.97	$27.97	$36.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $36.06 / $36.06	Professional		$36.06	$36.06	$36.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $27.72 / $28.63	Facility		$26.03	$27.72	$28.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $85.00	Facility		$65.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $60.80 / $114.99	Professional		$26.83	$60.80	$114.99
Qualchoice Facility/Professional Professional Modifier CO Low / Median / High Price $39.04 / $39.04 / $39.04	Professional	CO	$39.04	$39.04	$39.04
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $40.58 / $40.58 / $40.58	Professional	CQ	$40.58	$40.58	$40.58
United Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $26.29 / $33.72	Professional		$23.09	$26.29	$33.72