Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $277.72 / $377.72	Facility		$27.85	$277.72	$377.72
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $54.40 / $155.10 / $343.80	Facility	CQ	$54.40	$155.10	$343.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $51.77 / $99.11	Professional		$16.04	$51.77	$99.11
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.80 / $52.99 / $64.95	Professional	CQ	$22.80	$52.99	$64.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $28.63 / $42.06	Facility		$25.49	$28.63	$42.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $28.04 / $59.10	Professional		$25.49	$28.04	$59.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.46 / $34.46 / $34.46	Facility		$34.46	$34.46	$34.46
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $25.67 / $25.67 / $25.67	Facility	CQ	$25.67	$25.67	$25.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $80.01 / $116.06	Professional		$23.16	$80.01	$116.06
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $19.60 / $70.69 / $104.59	Facility	CQ	$19.60	$70.69	$104.59
United Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $25.88 / $41.91	Professional		$19.07	$25.88	$41.91