Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $25.94 / $241.80	Facility		$24.69	$25.94	$241.80
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $45.30 / $48.62 / $351.27	Facility	CO	$45.30	$48.62	$351.27
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $43.11 / $73.20 / $107.31	Facility	CQ	$43.11	$73.20	$107.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.69 / $30.50	Professional		$14.40	$23.69	$30.50
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $66.50 / $70.01 / $70.01	Professional	CO	$66.50	$70.01	$70.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $49.88 / $64.65	Facility		$35.34	$49.88	$64.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $63.00 / $90.00	Professional		$30.90	$63.00	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $27.00 / $45.78	Facility		$15.00	$27.00	$45.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $35.10 / $39.65	Professional		$30.52	$35.10	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $65.00	Facility		$53.50	$53.50	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $50.82 / $113.94	Professional		$25.84	$50.82	$113.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $32.32 / $294.70	Facility		$24.69	$32.32	$294.70
Health Alliance Plan Facility/Professional Facility Modifier CO Low / Median / High Price $45.30 / $228.02 / $351.27	Facility	CO	$45.30	$228.02	$351.27
Health Alliance Plan Facility/Professional Facility Modifier CQ Low / Median / High Price $61.04 / $73.20 / $107.31	Facility	CQ	$61.04	$73.20	$107.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $25.93 / $40.22	Professional		$19.28	$25.93	$40.22
Health Alliance Plan Facility/Professional Professional Modifier CO Low / Median / High Price $66.50 / $66.50 / $70.01	Professional	CO	$66.50	$66.50	$70.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $33.05 / $46.32	Professional		$26.17	$33.05	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $29.76 / $35.64	Professional		$27.26	$29.76	$35.64