Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $38.42 / $88.96	Facility		$29.52	$38.42	$88.96
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $61.17 / $61.17 / $153.60	Facility	CQ	$61.17	$61.17	$153.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.60 / $53.41	Professional		$14.40	$23.60	$53.41
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.09 / $49.21 / $109.44	Professional	CQ	$19.09	$49.21	$109.44
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $36.00 / $38.00 / $38.00	Professional	CQ	$36.00	$38.00	$38.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $34.72 / $45.14	Facility		$34.72	$34.72	$45.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $44.83 / $44.83	Professional		$44.83	$44.83	$44.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $32.65 / $33.72	Facility		$30.65	$32.65	$33.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $85.00	Facility		$65.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $55.24 / $114.99	Professional		$28.79	$55.24	$114.99
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $41.40 / $43.70 / $43.70	Professional	CQ	$41.40	$43.70	$43.70
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $30.68 / $41.20	Professional		$27.07	$30.68	$41.20