Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $68.95 / $479.46	Facility		$19.57	$68.95	$479.46
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $255.04 / $255.04 / $437.78	Facility	CO	$255.04	$255.04	$437.78
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $38.95 / $91.13 / $307.68	Facility	CQ	$38.95	$91.13	$307.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $21.53 / $70.31	Professional		$12.00	$21.53	$70.31
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $46.16 / $46.16 / $46.16	Professional	CO	$46.16	$46.16	$46.16
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.33 / $58.59 / $634.01	Professional	CQ	$28.33	$58.59	$634.01
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $15.67 / $21.76 / $24.34	Professional	CQ	$15.67	$21.76	$24.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $29.70 / $74.00	Facility		$26.73	$29.70	$74.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $22.00 / $32.32	Professional		$16.64	$22.00	$32.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $31.11 / $38.58	Facility		$27.05	$31.11	$38.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $31.11 / $39.22	Professional		$27.05	$31.11	$39.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $65.00 / $82.00	Facility		$36.54	$65.00	$82.00
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CO	$27.88	$27.88	$27.88
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $39.38 / $114.34	Professional		$20.38	$39.38	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $32.34 / $32.34	Professional		$15.67	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $27.09 / $37.03	Professional		$23.55	$27.09	$37.03