Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $45.17 / $246.13	Facility		$38.40	$45.17	$246.13
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $34.75 / $69.48 / $377.63	Facility	CQ	$34.75	$69.48	$377.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $28.64 / $214.00	Professional		$13.00	$28.64	$214.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.48 / $32.79 / $98.37	Professional	CQ	$15.48	$32.79	$98.37
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 $40.46 / $42.59 / $42.59	Professional		$40.46	$42.59	$42.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $46.90 / $46.90	Facility		$42.59	$46.90	$46.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $36.20 / $42.59	Professional		$22.90	$36.20	$42.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $46.90 / $46.90	Facility		$42.59	$46.90	$46.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $36.65 / $50.93	Professional		$25.48	$36.65	$50.93
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $28.87 / $30.51	Professional		$27.29	$28.87	$30.51