Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $118.32 / $436.26	Facility		$33.71	$118.32	$436.26
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $82.57 / $231.13 / $548.44	Facility	CO	$82.57	$231.13	$548.44
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $62.93 / $160.00 / $480.20	Facility	CQ	$62.93	$160.00	$480.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $25.74 / $82.83	Professional		$16.55	$25.74	$82.83
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $45.27 / $63.19 / $64.09	Professional	CO	$45.27	$63.19	$64.09
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $31.10 / $64.59 / $297.50	Professional	CQ	$31.10	$64.59	$297.50
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $29.74 / $29.74 / $29.74	Professional	CQ	$29.74	$29.74	$29.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $85.40 / $354.07	Facility		$42.19	$85.40	$354.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $30.16 / $30.46	Professional		$28.29	$30.16	$30.46
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 $25.70 / $45.72 / $107.04	Professional		$25.70	$45.72	$107.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $41.61 / $77.72	Professional		$28.46	$41.61	$77.72
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $36.00 / $38.40	Professional		$32.64	$36.00	$38.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $41.36	Professional		$32.34	$32.34	$41.36
United Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $27.85 / $45.50	Professional		$24.10	$27.85	$45.50