Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $94.92 / $448.92	Facility		$21.14	$94.92	$448.92
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $34.42 / $82.05 / $395.00	Facility	CO	$34.42	$82.05	$395.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $62.27 / $411.00 / $643.05	Facility	CQ	$62.27	$411.00	$643.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $24.83 / $71.31	Professional		$16.42	$24.83	$71.31
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $23.55 / $23.55 / $43.99	Professional	CO	$23.55	$23.55	$43.99
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.59 / $43.57 / $76.17	Professional	CQ	$18.59	$43.57	$76.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $15.67 / $20.92 / $36.72	Professional	CQ	$15.67	$20.92	$36.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $31.31 / $58.21	Professional		$21.59	$31.31	$58.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $38.08 / $46.06	Facility		$27.56	$38.08	$46.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.68 / $37.86	Professional		$27.54	$29.68	$37.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.79 / $65.00 / $80.00	Facility		$28.79	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $52.00 / $112.19	Professional		$20.12	$52.00	$112.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $35.36 / $90.00	Professional		$23.90	$35.36	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $28.02 / $47.79	Professional		$20.39	$28.02	$47.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $31.37 / $41.35	Professional		$22.66	$31.37	$41.35