Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $38.02 / $288.40	Facility		$7.59	$38.02	$288.40
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $8.71 / $74.13 / $288.40	Facility	CQ	$8.71	$74.13	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.96 / $22.91	Professional		$7.24	$10.96	$22.91
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	CO	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $11.48 / $14.13 / $39.81	Professional	CQ	$11.48	$14.13	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.47 / $10.47	Professional		$10.23	$10.47	$10.47
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $11.22 / $11.22 / $11.48	Professional	CQ	$11.22	$11.22	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $54.95 / $70.79	Facility		$39.81	$54.95	$70.79
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	CQ	$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $19.50	Professional		$8.71	$10.47	$19.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.59 / $10.96	Facility		$5.37	$7.59	$10.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.00 / $13.18	Professional		$4.79	$10.00	$13.18
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 $7.41 / $12.30 / $14.45	Facility		$7.41	$12.30	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $14.79	Professional		$8.32	$10.23	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $16.22	Professional		$11.75	$11.75	$16.22