Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $87.66 / $216.97	Facility		$33.27	$87.66	$216.97
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $56.55 / $79.66 / $188.17	Facility	CO	$56.55	$79.66	$188.17
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $57.81 / $57.81 / $89.06	Facility	CQ	$57.81	$57.81	$89.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.06 / $35.63	Professional		$14.40	$23.06	$35.63
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $511.94 / $511.94 / $511.94	Professional	CO	$511.94	$511.94	$511.94
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $36.01 / $36.04 / $40.33	Professional	CQ	$36.01	$36.04	$40.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $28.19 / $165.00	Facility		$22.55	$28.19	$165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $24.57 / $36.19	Professional		$20.23	$24.57	$36.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $36.61 / $42.73	Facility		$30.51	$36.61	$42.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $34.36 / $41.20	Professional		$30.52	$34.36	$41.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $100.99	Facility		$65.00	$75.00	$100.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $43.08 / $111.17	Professional		$25.09	$43.08	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $31.03 / $37.07	Professional		$26.38	$31.03	$37.07