Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $64.57 / $169.82	Facility		$30.90	$64.57	$169.82
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $29.51 / $64.57 / $154.88	Facility	CQ	$29.51	$64.57	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $77.62	Professional		$20.89	$30.90	$77.62
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	CO	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.88 / $37.15 / $66.07	Professional	CQ	$21.88	$37.15	$66.07
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.38 / $21.38 / $25.12	Professional	CQ	$17.38	$21.38	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $47.86 / $72.44	Facility		$37.15	$47.86	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $36.31	Professional		$30.90	$30.90	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $79.43	Facility		$54.95	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $33.11 / $50.12	Professional		$14.45	$33.11	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $79.43	Facility		$20.42	$33.11	$79.43
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $63.10 / $128.82 / $128.82	Facility	CQ	$63.10	$128.82	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $218.78	Professional		$25.70	$33.11	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $27.54 / $32.36	Facility		$26.30	$27.54	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $40.74	Professional		$22.91	$31.62	$40.74