Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $169.82	Facility		$22.39	$50.12	$169.82
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $37.15 / $89.13 / $234.42	Facility	CQ	$37.15	$89.13	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $87.10	Professional		$19.95	$35.48	$87.10
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $21.38 / $21.88 / $50.12	Professional	CO	$21.38	$21.88	$50.12
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.05 / $52.48 / $109.65	Professional	CQ	$19.05	$52.48	$109.65
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.38 / $22.39 / $32.36	Professional	CQ	$17.38	$22.39	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $40.74	Facility		$39.81	$40.74	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Facility		$60.26	$70.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $46.77	Professional		$19.05	$33.11	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $32.36 / $36.31	Facility		$29.51	$32.36	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $40.74	Professional		$23.44	$30.90	$40.74