Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $142.66 / $377.90	Facility		$38.43	$142.66	$377.90
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $60.40 / $60.40 / $60.40	Facility	CO	$60.40	$60.40	$60.40
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $77.88 / $286.44 / $946.90	Facility	CQ	$77.88	$286.44	$946.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $56.06 / $206.95	Professional		$19.98	$56.06	$206.95
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $18.23 / $18.23 / $62.66	Professional	CO	$18.23	$18.23	$62.66
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.92 / $47.47 / $110.05	Professional	CQ	$21.92	$47.47	$110.05
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $19.73 / $19.73 / $56.74	Professional	CQ	$19.73	$19.73	$56.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.74 / $304.82 / $589.62	Facility		$230.74	$304.82	$589.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $43.89 / $61.65	Professional		$27.10	$43.89	$61.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $39.00 / $89.00	Facility		$33.70	$39.00	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $44.23 / $67.48	Professional		$25.08	$44.23	$67.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.71 / $90.90 / $147.29	Facility		$32.71	$90.90	$147.29
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 $22.52 / $41.45 / $59.68	Professional		$22.52	$41.45	$59.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $44.52 / $56.55	Facility		$33.70	$44.52	$56.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $49.59 / $70.27	Professional		$35.86	$49.59	$70.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $55.92 / $62.55	Professional		$28.78	$55.92	$62.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $29.56 / $71.86	Professional		$23.65	$29.56	$71.86