Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $65.98 / $219.56	Facility		$27.37	$65.98	$219.56
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $83.60 / $165.00 / $227.37	Facility	CO	$83.60	$165.00	$227.37
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $57.81 / $80.17 / $139.91	Facility	CQ	$57.81	$80.17	$139.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.91 / $52.73	Professional		$14.40	$24.91	$52.73
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $62.45 / $70.01 / $70.01	Professional	CO	$62.45	$70.01	$70.01
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.68 / $28.48 / $44.46	Professional	CQ	$27.68	$28.48	$44.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $70.00 / $146.68	Facility		$54.14	$70.00	$146.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $29.33 / $51.56	Professional		$22.64	$29.33	$51.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70.00 / $85.00	Facility		$55.00	$70.00	$85.00
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $31.05 / $31.05 / $31.05	Facility	CO	$31.05	$31.05	$31.05
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $31.05 / $31.05 / $31.05	Facility	CQ	$31.05	$31.05	$31.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $54.94 / $113.01	Professional		$27.90	$54.94	$113.01
United Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Facility		$115.00	$115.00	$115.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $33.03 / $44.65	Professional		$26.49	$33.03	$44.65