Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $15.52 / $37.08	Facility		$10.23	$15.52	$37.08
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $10.42 / $40.14 / $315.00	Facility	CQ	$10.42	$40.14	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $11.94 / $51.00	Professional		$8.46	$11.94	$51.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.90 / $8.90 / $8.90	Professional	CQ	$8.90	$8.90	$8.90
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $14.56 / $14.56 / $14.56	Professional	CQ	$14.56	$14.56	$14.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.28 / $20.86	Professional		$6.80	$8.28	$20.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $68.00 / $85.00	Facility		$55.00	$68.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $18.82 / $111.17	Professional		$8.68	$18.82	$111.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.24 / $14.98 / $85.76	Facility		$9.24	$14.98	$85.76
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $26.96 / $55.33 / $55.33	Facility	CQ	$26.96	$55.33	$55.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $13.26 / $89.91	Professional		$9.68	$13.26	$89.91
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $16.73 / $16.73 / $16.73	Professional	CQ	$16.73	$16.73	$16.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.58 / $17.91	Professional		$9.68	$12.58	$17.91