Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $55.38 / $249.60	Facility		$24.46	$55.38	$249.60
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $50.37 / $309.00 / $622.50	Facility	CO	$50.37	$309.00	$622.50
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $46.30 / $91.50 / $534.94	Facility	CQ	$46.30	$91.50	$534.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $29.59 / $224.00	Professional		$16.93	$29.59	$224.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $48.53 / $63.19 / $63.19	Professional	CO	$48.53	$63.19	$63.19
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $25.78 / $73.23 / $219.69	Professional	CQ	$25.78	$73.23	$219.69
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $15.67 / $15.67 / $50.03	Professional	CQ	$15.67	$15.67	$50.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $18.80 / $46.64	Professional		$13.51	$18.80	$46.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $68.00 / $85.00	Facility		$55.00	$68.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $39.38 / $111.17	Professional		$18.60	$39.38	$111.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $37.33 / $125.00	Facility		$20.21	$37.33	$125.00
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CO	$56.39	$114.53	$114.53
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CQ	$56.39	$114.53	$114.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $27.83 / $186.26	Professional		$21.54	$27.83	$186.26
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $57.53 / $57.53 / $57.53	Professional	CQ	$57.53	$57.53	$57.53
United Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $26.69 / $43.71	Professional		$21.54	$26.69	$43.71