Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $140.13 / $317.25	Facility		$28.62	$140.13	$317.25
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $43.39 / $113.68 / $218.20	Facility	CQ	$43.39	$113.68	$218.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.85 / $57.67	Professional		$14.40	$23.85	$57.67
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $48.00 / $48.00 / $48.00	Professional	CO	$48.00	$48.00	$48.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $37.70 / $47.64 / $80.15	Professional	CQ	$37.70	$47.64	$80.15
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $49.04 / $49.04 / $49.04	Professional	CQ	$49.04	$49.04	$49.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $29.70 / $112.00	Facility		$24.52	$29.70	$112.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.07 / $36.01	Professional		$19.05	$24.07	$36.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $36.78 / $42.91	Facility		$30.65	$36.78	$42.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $34.60 / $41.38	Professional		$30.65	$34.60	$41.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $95.00	Facility		$65.00	$75.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $44.40 / $111.17	Professional		$26.01	$44.40	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $30.68 / $36.57	Professional		$26.32	$30.68	$36.57