Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $87.76 / $277.91	Facility		$23.00	$87.76	$277.91
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $36.47 / $76.61 / $203.38	Facility	CQ	$36.47	$76.61	$203.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $20.26 / $65.84	Professional		$13.00	$20.26	$65.84
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $72.70 / $72.70 / $72.70	Professional	CO	$72.70	$72.70	$72.70
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.82 / $35.24 / $75.36	Professional	CQ	$17.82	$35.24	$75.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $27.68 / $112.00	Facility		$22.07	$27.68	$112.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $22.07 / $33.10	Professional		$17.64	$22.07	$33.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $31.20 / $36.40	Facility		$26.00	$31.20	$36.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $29.84 / $35.10	Professional		$26.00	$29.84	$35.10
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 $22.37 / $36.69 / $111.17	Professional		$22.37	$36.69	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $25.58 / $30.63	Professional		$22.87	$25.58	$30.63