Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $67.61 / $407.38	Facility		$30.20	$67.61	$407.38
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $21.38 / $57.54 / $102.33	Facility	CQ	$21.38	$57.54	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $229.09	Professional		$16.98	$30.90	$229.09
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $51.29 / $158.49 / $158.49	Professional	CO	$51.29	$158.49	$158.49
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $24.55 / $38.90 / $81.28	Professional	CQ	$24.55	$38.90	$81.28
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.38 / $25.70 / $53.70	Professional	CQ	$17.38	$25.70	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $50.12 / $75.86	Professional		$22.39	$50.12	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $60.26 / $70.79	Facility		$54.95	$60.26	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $40.74	Professional		$19.50	$26.92	$40.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $34.67 / $52.48	Professional		$0.25	$34.67	$52.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $48.98	Professional		$0.25	$0.25	$48.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $35.48	Professional		$31.62	$32.36	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $42.66	Professional		$25.70	$33.88	$42.66