Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $100.00 / $316.23	Facility		$29.51	$100.00	$316.23
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $70.79 / $104.71 / $316.23	Facility	CQ	$70.79	$104.71	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $141.25	Professional		$19.95	$34.67	$141.25
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $20.89 / $40.74 / $52.48	Professional	CO	$20.89	$40.74	$52.48
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $25.12 / $51.29 / $128.82	Professional	CQ	$25.12	$51.29	$128.82
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.78 / $25.12 / $32.36	Professional	CQ	$17.78	$25.12	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $81.28 / $275.42	Facility		$44.67	$81.28	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $33.88	Professional		$29.51	$33.11	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $107.15	Facility		$44.67	$64.57	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $58.88	Professional		$22.91	$38.02	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $81.28	Professional		$30.90	$45.71	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $42.66	Professional		$39.81	$40.74	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $36.31 / $54.95	Facility		$32.36	$36.31	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $44.67	Professional		$25.70	$31.62	$44.67