Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $147.16 / $245.07	Facility		$44.80	$147.16	$245.07
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $117.88 / $117.88 / $217.28	Facility	CQ	$117.88	$117.88	$217.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $40.28 / $290.00	Professional		$14.40	$40.28	$290.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $74.89 / $121.90 / $122.03	Professional	CO	$74.89	$121.90	$122.03
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $42.85 / $55.87 / $86.22	Professional	CQ	$42.85	$55.87	$86.22
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 $54.95 / $57.84 / $57.84	Professional		$54.95	$57.84	$57.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $65.65 / $65.65	Facility		$57.84	$65.65	$65.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $49.16 / $57.84	Professional		$31.23	$49.16	$57.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.84 / $65.65 / $65.65	Facility		$57.84	$65.65	$65.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $50.41 / $69.80	Professional		$35.59	$50.41	$69.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $40.42 / $40.42	Professional		$31.34	$40.42	$40.42