Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $130.40 / $182.27	Facility		$45.84	$130.40	$182.27
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $47.65 / $109.24 / $476.23	Facility	CQ	$47.65	$109.24	$476.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $29.37 / $211.65	Professional		$14.40	$29.37	$211.65
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $47.75 / $54.47 / $54.47	Professional	CO	$47.75	$54.47	$54.47
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.07 / $74.27 / $302.83	Professional	CQ	$27.07	$74.27	$302.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $155.60 / $300.00	Facility		$42.44	$155.60	$300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $33.54 / $36.38	Professional		$25.57	$33.54	$36.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.11 / $54.02	Professional		$25.12	$36.11	$54.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.18 / $95.00	Professional		$32.34	$51.18	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.67 / $54.02	Professional		$25.12	$37.67	$54.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $35.53 / $41.37	Professional		$29.57	$35.53	$41.37