Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $31.69 / $219.43	Facility		$22.42	$31.69	$219.43
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $29.43 / $145.69 / $281.14	Facility	CQ	$29.43	$145.69	$281.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.18 / $53.15	Professional		$14.40	$23.18	$53.15
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $25.39 / $25.39 / $25.39	Professional	CO	$25.39	$25.39	$25.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.73 / $32.92 / $76.90	Professional	CQ	$21.73	$32.92	$76.90
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.42 / $21.79 / $27.08	Professional	CQ	$17.42	$21.79	$27.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $29.70 / $44.00	Facility		$26.73	$29.70	$44.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $22.00 / $33.33	Professional		$16.80	$22.00	$33.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $34.60 / $42.91	Facility		$30.09	$34.60	$42.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $35.25 / $44.28	Professional		$30.09	$35.25	$44.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $65.00 / $82.00	Facility		$38.13	$65.00	$82.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $32.00 / $32.00 / $32.00	Facility	CQ	$32.00	$32.00	$32.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $41.62 / $114.34	Professional		$21.93	$41.62	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.24 / $32.34 / $32.34	Professional		$16.24	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $30.40 / $38.00	Professional		$24.76	$30.40	$38.00