Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $60.00 / $237.78	Facility		$25.87	$60.00	$237.78
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $40.26 / $133.87 / $309.00	Facility	CQ	$40.26	$133.87	$309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $28.64 / $274.00	Professional		$15.84	$28.64	$274.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $26.51 / $121.89 / $237.75	Professional	CQ	$26.51	$121.89	$237.75
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.42 / $17.42 / $38.00	Professional	CQ	$17.42	$17.42	$38.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $19.84 / $51.65	Professional		$13.72	$19.84	$51.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $68.00 / $85.00	Facility		$55.00	$68.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $44.23 / $111.51	Professional		$21.33	$44.23	$111.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $35.40 / $96.70	Facility		$22.46	$35.40	$96.70
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $62.75 / $127.37 / $127.37	Facility	CQ	$62.75	$127.37	$127.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $30.68 / $216.50	Professional		$23.33	$30.68	$216.50
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $43.70 / $43.70 / $43.70	Professional	CQ	$43.70	$43.70	$43.70
United Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $30.40 / $48.61	Professional		$23.13	$30.40	$48.61