Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $227.00 / $465.56	Facility		$44.03	$227.00	$465.56
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $63.59 / $71.20 / $134.22	Facility	CO	$63.59	$71.20	$134.22
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $61.48 / $82.06 / $581.04	Facility	CQ	$61.48	$82.06	$581.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $23.73 / $82.73	Professional		$15.74	$23.73	$82.73
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $23.55 / $23.55 / $137.12	Professional	CO	$23.55	$23.55	$137.12
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.59 / $50.53 / $91.80	Professional	CQ	$18.59	$50.53	$91.80
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $15.67 / $20.92 / $21.87	Professional	CQ	$15.67	$20.92	$21.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $73.98 / $116.91	Facility		$34.24	$73.98	$116.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $26.45 / $37.63	Professional		$23.00	$26.45	$37.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $40.00 / $120.00	Facility		$21.00	$40.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $43.41 / $114.34	Professional		$21.66	$43.41	$114.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $28.55 / $50.45	Facility		$20.75	$28.55	$50.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $21.00 / $26.95	Professional		$20.00	$21.00	$26.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $35.78 / $35.78	Professional		$35.78	$35.78	$35.78
United Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $28.01 / $31.37	Professional		$24.01	$28.01	$31.37