Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $42.66 / $154.88	Facility		$22.91	$42.66	$154.88
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $85.11 / $85.11 / $194.98	Facility	CO	$85.11	$85.11	$194.98
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	CQ	$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $56.23	Professional		$19.05	$24.55	$56.23
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CO	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $20.42 / $25.70 / $26.92	Professional	CQ	$20.42	$25.70	$26.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $50.12 / $107.15	Facility		$19.05	$50.12	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $43.65	Professional		$30.90	$33.11	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $120.23	Facility		$70.79	$70.79	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $40.74	Professional		$22.39	$27.54	$40.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $58.88	Facility		$21.38	$30.90	$58.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $35.48	Facility		$32.36	$32.36	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $35.48	Professional		$26.30	$29.51	$35.48