Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $146.58 / $389.20	Facility		$26.23	$146.58	$389.20
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $31.48 / $111.19 / $230.88	Facility	CO	$31.48	$111.19	$230.88
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $55.80 / $129.09 / $367.29	Facility	CQ	$55.80	$129.09	$367.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $22.07 / $77.00	Professional		$12.48	$22.07	$77.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $51.34 / $51.34 / $80.75	Professional	CO	$51.34	$51.34	$80.75
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $36.89 / $62.66 / $116.17	Professional	CQ	$36.89	$62.66	$116.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $44.06 / $44.06 / $44.06	Professional	CQ	$44.06	$44.06	$44.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $29.70 / $112.00	Facility		$23.55	$29.70	$112.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.45 / $32.42	Professional		$18.84	$22.45	$32.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.04 / $38.56	Facility		$27.54	$33.04	$38.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.11 / $37.18	Professional		$27.54	$31.11	$37.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $73.29 / $95.00	Facility		$65.00	$73.29	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $39.88 / $111.17	Professional		$24.30	$39.88	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $27.85 / $37.90	Professional		$24.23	$27.85	$37.90