Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $73.59 / $351.30	Facility		$34.54	$73.59	$351.30
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $280.69 / $280.69 / $280.69	Facility	CO	$280.69	$280.69	$280.69
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $56.13 / $130.81 / $178.54	Facility	CQ	$56.13	$130.81	$178.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $27.81 / $304.00	Professional		$14.40	$27.81	$304.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $47.10 / $47.10 / $60.38	Professional	CQ	$47.10	$47.10	$60.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $41.04 / $75.00	Professional		$20.14	$41.04	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60.00 / $70.00	Facility		$55.00	$60.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $39.97 / $113.94	Professional		$19.48	$39.97	$113.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $34.56 / $59.16	Professional		$0.25	$34.56	$59.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $35.04 / $52.56	Professional		$0.25	$35.04	$52.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $36.38 / $46.33	Professional		$26.94	$36.38	$46.33