Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $53.06 / $227.00	Facility		$23.00	$53.06	$227.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $77.04 / $81.47 / $84.35	Facility	CO	$77.04	$81.47	$84.35
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $305.55 / $305.55 / $305.55	Facility	CQ	$305.55	$305.55	$305.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $23.74 / $30.94	Professional		$14.98	$23.74	$30.94
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $68.56 / $68.56 / $68.56	Professional	CO	$68.56	$68.56	$68.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $20.23 / $20.23 / $68.56	Professional	CQ	$20.23	$20.23	$68.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $55.14 / $112.44	Facility		$19.32	$55.14	$112.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $32.00 / $44.98	Professional		$30.47	$32.00	$44.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $120.00	Facility		$70.00	$70.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $48.46 / $114.34	Professional		$23.27	$48.46	$114.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $31.44 / $53.63	Facility		$23.00	$31.44	$53.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $24.76 / $28.80	Professional		$23.00	$24.76	$28.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $37.00 / $57.79	Professional		$28.98	$37.00	$57.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $29.76 / $33.78	Professional		$26.26	$29.76	$33.78