Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $111.55 / $224.06	Facility		$44.07	$111.55	$224.06
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $81.59 / $83.40 / $148.19	Facility	CQ	$81.59	$83.40	$148.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $51.26 / $260.00	Professional		$20.92	$51.26	$260.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $110.73 / $110.73 / $110.73	Professional	CO	$110.73	$110.73	$110.73
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $49.21 / $64.95 / $128.44	Professional	CQ	$49.21	$64.95	$128.44
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.41 / $24.41 / $24.41	Professional	CQ	$24.41	$24.41	$24.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $304.82 / $589.62	Facility		$231.75	$304.82	$589.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $50.35 / $70.73	Professional		$31.10	$50.35	$70.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $40.00 / $129.00	Facility		$39.11	$40.00	$129.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $51.35 / $75.09	Professional		$27.90	$51.35	$75.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $75.59 / $136.00	Facility		$30.51	$75.59	$136.00
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 $26.29 / $47.65 / $69.95	Professional		$26.29	$47.65	$69.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $51.35 / $64.84	Facility		$39.11	$51.35	$64.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $52.00 / $80.59	Professional		$39.56	$52.00	$80.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $154.77 / $154.77	Facility		$154.77	$154.77	$154.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $62.24 / $70.47	Professional		$32.04	$62.24	$70.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $33.99 / $82.63	Professional		$26.26	$33.99	$82.63