Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $151.85 / $513.27	Facility		$35.97	$151.85	$513.27
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $63.39 / $487.66 / $552.37	Facility	CO	$63.39	$487.66	$552.37
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $57.30 / $99.64 / $423.46	Facility	CQ	$57.30	$99.64	$423.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $27.93 / $89.16	Professional		$13.20	$27.93	$89.16
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $17.80 / $17.80 / $17.80	Professional	CO	$17.80	$17.80	$17.80
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $29.01 / $67.53 / $100.12	Professional	CQ	$29.01	$67.53	$100.12
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $21.76 / $26.65 / $26.65	Professional	CQ	$21.76	$26.65	$26.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $37.17 / $37.17	Facility		$35.79	$37.17	$37.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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 $27.00 / $43.41 / $114.34	Professional		$27.00	$43.41	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $28.25 / $40.65	Professional		$23.72	$28.25	$40.65