Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $151.36 / $407.38	Facility		$37.15	$151.36	$407.38
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $63.10 / $63.10 / $549.54	Facility	CO	$63.10	$63.10	$549.54
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $54.95 / $93.33 / $426.58	Facility	CQ	$54.95	$93.33	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $37.15 / $89.13	Professional		$18.20	$37.15	$89.13
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $17.78 / $17.78 / $56.23	Professional	CO	$17.78	$17.78	$56.23
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $39.81 / $61.66 / $93.33	Professional	CQ	$39.81	$61.66	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $18.62 / $19.95 / $26.30	Professional	CQ	$18.62	$19.95	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $37.15 / $37.15	Facility		$36.31	$37.15	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Facility		$60.26	$70.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $41.69	Professional		$16.60	$30.20	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $28.84 / $31.62	Facility		$26.30	$28.84	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $38.90	Professional		$22.39	$28.18	$38.90