Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $118.13 / $481.14	Facility		$21.48	$118.13	$481.14
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $125.00 / $125.00 / $125.00	Facility	CO	$125.00	$125.00	$125.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $52.88 / $140.76 / $462.00	Facility	CQ	$52.88	$140.76	$462.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.73 / $37.71	Professional		$14.40	$23.73	$37.71
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.48 / $21.48 / $42.96	Professional	CQ	$21.48	$21.48	$42.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $106.47 / $148.77	Facility		$52.84	$106.47	$148.77
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $33.90 / $63.97	Professional		$24.65	$33.90	$63.97
AmeriHealth Facility/Professional Professional Modifier CQ Low / Median / High Price $35.22 / $36.56 / $60.04	Professional	CQ	$35.22	$36.56	$60.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $163.65 / $163.65	Facility		$80.00	$163.65	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $68.93 / $113.16	Professional		$31.55	$68.93	$113.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $94.00	Professional		$45.00	$55.00	$94.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $30.24 / $40.68	Professional		$27.60	$30.24	$40.68
United Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $37.40 / $52.93	Professional		$22.34	$37.40	$52.93