Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $40.72 / $46.63	Facility		$24.38	$40.72	$46.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $25.19 / $182.52	Professional		$14.40	$25.19	$182.52
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $70.01 / $70.01 / $70.01	Professional	CO	$70.01	$70.01	$70.01
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $35.11 / $35.11 / $35.11	Professional	CQ	$35.11	$35.11	$35.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $239.73 / $411.11	Facility		$68.80	$239.73	$411.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $29.01 / $32.60	Professional		$22.92	$29.01	$32.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $36.13 / $53.54	Professional		$25.13	$36.13	$53.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $90.00	Professional		$32.34	$32.34	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $31.97 / $70.00	Facility		$24.28	$31.97	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $36.13 / $53.54	Professional		$25.13	$36.13	$53.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $35.01 / $38.01	Professional		$29.57	$35.01	$38.01