Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $193.50 / $389.36	Facility		$40.04	$193.50	$389.36
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $114.51 / $114.51 / $114.51	Facility	CO	$114.51	$114.51	$114.51
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $117.14 / $117.14 / $128.10	Facility	CQ	$117.14	$117.14	$128.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.92 / $56.83	Professional		$14.40	$24.92	$56.83
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $52.12 / $54.47 / $54.47	Professional	CO	$52.12	$54.47	$54.47
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.07 / $27.07 / $80.11	Professional	CQ	$27.07	$27.07	$80.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $77.39 / $91.05	Professional		$68.06	$77.39	$91.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $38.04 / $47.37	Professional		$30.43	$38.04	$47.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $62.70 / $125.00	Facility		$34.03	$62.70	$125.00
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $65.76 / $137.66 / $137.66	Facility	CO	$65.76	$137.66	$137.66
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $65.76 / $137.66 / $137.66	Facility	CQ	$65.76	$137.66	$137.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $41.96 / $58.37	Professional		$33.40	$41.96	$58.37
United Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $34.04 / $53.06	Professional		$30.06	$34.04	$53.06