Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $35.93 / $326.00	Facility		$21.33	$35.93	$326.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $24.62 / $67.72 / $166.40	Facility	CQ	$24.62	$67.72	$166.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.79 / $150.00	Professional		$14.40	$23.79	$150.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $21.44 / $21.78 / $24.73	Professional	CO	$21.44	$21.78	$24.73
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $4.94 / $45.00 / $109.44	Professional	CQ	$4.94	$45.00	$109.44
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $17.42 / $21.79 / $55.98	Professional	CQ	$17.42	$21.79	$55.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $32.44 / $57.58	Professional		$21.06	$32.44	$57.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $95.00	Facility		$55.00	$65.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $41.23 / $109.38	Professional		$16.41	$41.23	$109.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $149.85 / $169.15	Facility		$73.68	$149.85	$169.15
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $127.37 / $143.78	Facility	CQ	$42.50	$127.37	$143.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $216.50 / $268.95	Professional		$216.50	$216.50	$268.95
United Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $31.85 / $40.10	Professional		$28.26	$31.85	$40.10