Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $41.32 / $104.30	Facility		$21.17	$41.32	$104.30
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $52.79 / $52.79 / $52.79	Facility	CQ	$52.79	$52.79	$52.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.91 / $46.22	Professional		$14.40	$24.91	$46.22
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $55.23 / $55.23 / $55.23	Professional	CQ	$55.23	$55.23	$55.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $41.00 / $41.00	Facility		$39.53	$41.00	$41.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $54.94 / $114.34	Professional		$29.23	$54.94	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $31.02 / $41.57	Professional		$25.00	$31.02	$41.57