Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $112.20 / $371.54	Facility		$30.90	$112.20	$371.54
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $67.61 / $162.18 / $407.38	Facility	CO	$67.61	$162.18	$407.38
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $57.54 / $120.23 / $371.54	Facility	CQ	$57.54	$120.23	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $151.36	Professional		$20.89	$38.90	$151.36
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $26.92 / $54.95 / $151.36	Professional	CO	$26.92	$54.95	$151.36
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.90 / $53.70 / $117.49	Professional	CQ	$30.90	$53.70	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $95.50 / $239.88	Facility		$33.11	$95.50	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $75.86	Professional		$18.20	$28.84	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $134.90	Facility		$54.95	$72.44	$134.90
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	CO	$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	CQ	$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $69.18	Professional		$22.91	$36.31	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $34.67 / $38.90	Facility		$28.18	$34.67	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $47.86	Professional		$26.30	$34.67	$47.86