Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $83.18 / $295.12	Facility		$25.12	$83.18	$295.12
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $58.88 / $158.49 / $398.11	Facility	CO	$58.88	$158.49	$398.11
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $42.66 / $109.65 / $323.59	Facility	CQ	$42.66	$109.65	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $158.49	Professional		$19.05	$28.18	$158.49
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $27.54 / $27.54 / $70.79	Professional	CO	$27.54	$27.54	$70.79
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $20.42 / $28.18 / $81.28	Professional	CQ	$20.42	$28.18	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $95.50 / $239.88	Facility		$37.15	$95.50	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $75.86	Professional		$20.42	$27.54	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $72.44 / $128.82	Facility		$52.48	$72.44	$128.82
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	CO	$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $64.57	Professional		$21.88	$33.11	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $32.36 / $35.48	Facility		$25.70	$32.36	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $45.71	Professional		$24.55	$31.62	$45.71