Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $64.44 / $200.00	Facility		$29.02	$64.44	$200.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $30.89 / $69.80 / $155.68	Facility	CQ	$30.89	$69.80	$155.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $25.87 / $35.40	Professional		$20.35	$25.87	$35.40
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $24.45 / $42.80 / $57.87	Professional	CQ	$24.45	$42.80	$57.87
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $30.41 / $30.41 / $30.41	Professional	CQ	$30.41	$30.41	$30.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $50.38 / $78.51	Facility		$40.29	$50.38	$78.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $29.75 / $35.00	Professional		$24.50	$29.75	$35.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $88.00	Facility		$55.00	$65.00	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $59.40 / $114.99	Professional		$24.22	$59.40	$114.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $33.68 / $80.00	Facility		$20.43	$33.68	$80.00
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $27.20 / $62.75 / $127.37	Facility	CQ	$27.20	$62.75	$127.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $32.86 / $216.50	Professional		$22.99	$32.86	$216.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $31.83 / $47.04	Professional		$22.99	$31.83	$47.04