Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $128.13 / $404.71	Facility		$31.75	$128.13	$404.71
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $21.51 / $43.50 / $81.59	Facility	CQ	$21.51	$43.50	$81.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $25.54 / $272.00	Professional		$14.40	$25.54	$272.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $39.27 / $39.27 / $39.27	Professional	CQ	$39.27	$39.27	$39.27
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.30 / $24.30 / $24.30	Professional	CQ	$24.30	$24.30	$24.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $38.28 / $75.00	Professional		$22.42	$38.28	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60.00 / $70.00	Facility		$55.00	$60.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $38.35 / $113.94	Professional		$22.00	$38.35	$113.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $32.72 / $55.19	Professional		$0.25	$32.72	$55.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $32.69 / $49.04	Professional		$0.25	$32.69	$49.04
United Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $35.94 / $54.14	Professional		$26.64	$35.94	$54.14