Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $16.80 / $45.00	Facility		$10.76	$16.80	$45.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $17.14 / $103.60 / $103.60	Facility	CQ	$17.14	$103.60	$103.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $13.41 / $16.80	Professional		$7.66	$13.41	$16.80
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.42 / $8.42 / $21.64	Professional	CQ	$7.42	$8.42	$21.64
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $15.01 / $15.01 / $15.01	Professional	CQ	$15.01	$15.01	$15.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.76 / $14.76	Facility		$14.21	$14.76	$14.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
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 $6.57 / $15.79 / $28.00	Professional		$6.57	$15.79	$28.00
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 $9.71 / $11.37 / $19.73	Professional		$9.71	$11.37	$19.73