Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.14 / $45.00 / $175.82	Facility		$22.14	$45.00	$175.82
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $37.14 / $76.25 / $233.52	Facility	CQ	$37.14	$76.25	$233.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.52 / $66.39	Professional		$14.40	$28.52	$66.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $4.94 / $28.20 / $109.44	Professional	CQ	$4.94	$28.20	$109.44
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $21.79 / $21.79 / $21.79	Professional	CQ	$21.79	$21.79	$21.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $41.00 / $41.00	Facility		$40.98	$41.00	$41.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $54.94 / $114.34	Professional		$28.12	$54.94	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $30.68 / $42.18	Professional		$24.29	$30.68	$42.18