Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $163.59 / $175.89	Facility		$31.05	$163.59	$175.89
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $61.09 / $79.18 / $254.89	Facility	CQ	$61.09	$79.18	$254.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $22.08 / $202.00	Professional		$13.00	$22.08	$202.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $33.68 / $33.68 / $33.68	Professional	CO	$33.68	$33.68	$33.68
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.14 / $18.14 / $68.31	Professional	CQ	$18.14	$18.14	$68.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $199.64 / $342.37	Facility		$57.30	$199.64	$342.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $25.04 / $27.15	Professional		$19.07	$25.04	$27.15
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 $21.76 / $31.27 / $46.11	Professional		$21.76	$31.27	$46.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.20 / $90.00	Professional		$32.34	$38.20	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $31.27 / $46.11	Professional		$21.76	$31.27	$46.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.87 / $33.00	Professional		$25.20	$28.87	$33.00