Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $110.01 / $344.83	Facility		$27.36	$110.01	$344.83
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $27.19 / $50.37 / $84.53	Facility	CO	$27.19	$50.37	$84.53
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $46.30 / $71.40 / $367.63	Facility	CQ	$46.30	$71.40	$367.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $22.73 / $36.47	Professional		$17.91	$22.73	$36.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.71 / $19.71 / $19.71	Professional	25	$19.71	$19.71	$19.71
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $18.21 / $18.21 / $48.53	Professional	CO	$18.21	$18.21	$48.53
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.23 / $53.58 / $72.03	Professional	CQ	$19.23	$53.58	$72.03
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $21.87 / $21.87 / $21.87	Professional	CQ	$21.87	$21.87	$21.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.27 / $56.91 / $77.02	Facility		$39.27	$56.91	$77.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $29.17 / $34.32	Professional		$24.02	$29.17	$34.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $88.00	Facility		$55.00	$65.00	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $56.98 / $114.34	Professional		$21.77	$56.98	$114.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $31.92 / $125.00	Facility		$18.46	$31.92	$125.00
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $26.35 / $56.39 / $114.53	Facility	CO	$26.35	$56.39	$114.53
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $26.35 / $56.39 / $114.53	Facility	CQ	$26.35	$56.39	$114.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $30.66 / $186.26	Professional		$20.01	$30.66	$186.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $28.26 / $46.59	Professional		$20.01	$28.26	$46.59