Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $142.68 / $416.39	Facility		$24.62	$142.68	$416.39
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $49.00 / $61.05 / $121.55	Facility	CO	$49.00	$61.05	$121.55
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $57.30 / $132.57 / $423.46	Facility	CQ	$57.30	$132.57	$423.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $21.53 / $112.00	Professional		$14.04	$21.53	$112.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $17.80 / $17.80 / $55.61	Professional	CO	$17.80	$17.80	$55.61
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $23.16 / $58.19 / $231.20	Professional	CQ	$23.16	$58.19	$231.20
Ambetter Facility/Professional Professional Modifier CO Low / Median / High Price $39.33 / $39.33 / $39.33	Professional	CO	$39.33	$39.33	$39.33
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $15.67 / $21.76 / $45.27	Professional	CQ	$15.67	$21.76	$45.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $30.68 / $52.81	Professional		$19.14	$30.68	$52.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $95.00	Facility		$55.00	$65.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $38.46 / $108.10	Professional		$15.32	$38.46	$108.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $134.74 / $152.00	Facility		$79.48	$134.74	$152.00
Lucent Health Facility/Professional Facility Modifier CO Low / Median / High Price $38.76 / $114.53 / $129.19	Facility	CO	$38.76	$114.53	$129.19
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $38.76 / $114.53 / $129.19	Facility	CQ	$38.76	$114.53	$129.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $186.26 / $241.95	Professional		$186.26	$186.26	$241.95
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $29.55 / $33.52	Professional		$25.27	$29.55	$33.52