Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $180.70 / $374.42	Facility		$27.67	$180.70	$374.42
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $72.95 / $775.53 / $5,835.65	Facility	CO	$72.95	$775.53	$5,835.65
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $41.54 / $151.57 / $878.74	Facility	CQ	$41.54	$151.57	$878.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $20.80 / $37.54	Professional		$16.55	$20.80	$37.54
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $42.64 / $47.45 / $52.79	Professional	CQ	$42.64	$47.45	$52.79
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $15.67 / $22.49 / $22.49	Professional	CQ	$15.67	$22.49	$22.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $55.00 / $70.00	Facility		$45.00	$55.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $39.38 / $105.73	Professional		$20.38	$39.38	$105.73
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $14.80 / $20.72	Facility		$10.61	$14.80	$20.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.05 / $25.07	Professional		$16.30	$20.05	$25.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $19.16 / $46.06	Professional		$16.28	$19.16	$46.06
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $22.46 / $34.08	Professional		$19.00	$22.46	$34.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $24.57	Professional		$24.57	$24.57	$24.57