Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $213.67 / $538.96	Facility		$37.40	$213.67	$538.96
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $116.56 / $233.93 / $467.62	Facility	CO	$116.56	$233.93	$467.62
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $88.93 / $121.26 / $237.14	Facility	CQ	$88.93	$121.26	$237.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $29.45 / $73.34	Professional		$15.84	$29.45	$73.34
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.12 / $46.17 / $78.95	Professional	CQ	$28.12	$46.17	$78.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.95 / $36.11 / $52.72	Facility		$31.95	$36.11	$52.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $35.15 / $74.06	Professional		$31.95	$35.15	$74.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	CO	$34.86	$34.86	$34.86
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	CQ	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $80.01 / $116.06	Professional		$28.85	$80.01	$116.06
Highmark BCBS Facility/Professional Facility Modifier CO Low / Median / High Price $139.47 / $178.56 / $180.56	Facility	CO	$139.47	$178.56	$180.56
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $84.32 / $117.34 / $173.26	Facility	CQ	$84.32	$117.34	$173.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Highmark BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $38.42 / $38.42 / $38.42	Professional	CQ	$38.42	$38.42	$38.42
United Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $33.24 / $51.12	Professional		$24.17	$33.24	$51.12