Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $75.38 / $302.60	Facility		$20.38	$75.38	$302.60
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $75.78 / $88.05 / $557.39	Facility	CO	$75.78	$88.05	$557.39
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $40.72 / $76.18 / $338.94	Facility	CQ	$40.72	$76.18	$338.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.38 / $43.90	Professional		$12.00	$20.38	$43.90
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $18.21 / $18.21 / $48.53	Professional	CO	$18.21	$18.21	$48.53
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.23 / $46.22 / $72.03	Professional	CQ	$19.23	$46.22	$72.03
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $25.72 / $25.72 / $50.03	Professional	CQ	$25.72	$25.72	$50.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.81 / $85.09 / $134.91	Facility		$49.81	$85.09	$134.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $31.33 / $39.40	Professional		$22.55	$31.33	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $89.00	Facility		$55.00	$65.00	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $65.06 / $113.98	Professional		$21.84	$65.06	$113.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $31.03 / $125.00	Facility		$19.36	$31.03	$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 $23.87 / $26.98 / $65.00	Professional		$23.87	$26.98	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $26.69 / $34.79	Professional		$23.87	$26.69	$34.79