Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $33.34 / $75.37	Facility		$30.30	$33.34	$75.37
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $169.44 / $169.44 / $169.44	Facility	CQ	$169.44	$169.44	$169.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.69 / $33.34	Professional		$14.40	$23.69	$33.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $33.56 / $49.10	Facility		$29.76	$33.56	$49.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $32.74 / $69.00	Professional		$29.76	$32.74	$69.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $39.13 / $39.13	Facility		$39.13	$39.13	$39.13
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $31.05 / $31.05 / $31.05	Facility	CO	$31.05	$31.05	$31.05
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $31.05 / $31.05 / $31.05	Facility	CQ	$31.05	$31.05	$31.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $80.01 / $116.06	Professional		$27.71	$80.01	$116.06
Highmark BCBS Facility/Professional Facility Modifier CO Low / Median / High Price $22.74 / $22.74 / $188.77	Facility	CO	$22.74	$22.74	$188.77
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $127.83 / $127.83 / $127.83	Facility	CQ	$127.83	$127.83	$127.83
United Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $29.99 / $47.62	Professional		$22.01	$29.99	$47.62