Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $114.82 / $269.15	Facility		$23.99	$114.82	$269.15
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $67.61 / $79.43 / $123.03	Facility	CQ	$67.61	$79.43	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $85.11	Professional		$19.95	$28.84	$85.11
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	CO	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.91 / $46.77 / $85.11	Professional	CQ	$22.91	$46.77	$85.11
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $22.39 / $26.30 / $53.70	Professional	CQ	$22.39	$26.30	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $91.20 / $190.55	Facility		$35.48	$91.20	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $41.69	Professional		$26.92	$31.62	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $70.79 / $120.23	Facility		$39.81	$70.79	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $38.02	Professional		$21.88	$27.54	$38.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.90 / $56.23	Facility		$20.42	$30.90	$56.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $36.31	Facility		$32.36	$32.36	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $35.48	Professional		$25.70	$30.90	$35.48