Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $113.53 / $363.62	Facility		$23.79	$113.53	$363.62
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $68.26 / $73.25 / $106.01	Facility	CQ	$68.26	$73.25	$106.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $24.02 / $48.97	Professional		$14.98	$24.02	$48.97
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $58.41 / $58.41 / $58.41	Professional	CO	$58.41	$58.41	$58.41
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.57 / $46.66 / $61.98	Professional	CQ	$21.57	$46.66	$61.98
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.42 / $17.42 / $17.42	Professional	CQ	$17.42	$17.42	$17.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $86.37 / $158.77	Facility		$37.11	$86.37	$158.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $30.61 / $41.86	Professional		$26.00	$30.61	$41.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $70.00 / $120.00	Facility		$40.00	$70.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $50.42 / $114.34	Professional		$22.69	$50.42	$114.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $30.00 / $49.39	Facility		$22.41	$30.00	$49.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $21.00 / $28.10	Professional		$15.00	$21.00	$28.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.86 / $63.07	Professional		$32.34	$39.86	$63.07
United Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $30.68 / $35.29	Professional		$26.31	$30.68	$35.29