Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $78.25 / $395.00	Facility		$22.84	$78.25	$395.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $36.68 / $69.53 / $476.00	Facility	CQ	$36.68	$69.53	$476.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $27.46 / $66.73	Professional		$17.55	$27.46	$66.73
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $157.50 / $157.50 / $157.50	Professional	CO	$157.50	$157.50	$157.50
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.78 / $32.92 / $81.41	Professional	CQ	$21.78	$32.92	$81.41
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.42 / $17.42 / $39.33	Professional	CQ	$17.42	$17.42	$39.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $35.61 / $66.79	Professional		$23.14	$35.61	$66.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $42.35 / $51.23	Facility		$30.65	$42.35	$51.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $32.99 / $42.13	Professional		$30.65	$32.99	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $65.00 / $80.00	Facility		$32.02	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $55.13 / $113.01	Professional		$21.41	$55.13	$113.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $39.33 / $90.00	Professional		$26.58	$39.33	$90.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $128.63 / $151.37	Facility		$55.13	$128.63	$151.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $31.56 / $54.25	Professional		$22.69	$31.56	$54.25
United Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $34.21 / $45.62	Professional		$23.29	$34.21	$45.62