Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $43.65 / $173.78	Facility		$33.11	$43.65	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $87.10	Professional		$20.89	$30.20	$87.10
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $72.44 / $204.17 / $204.17	Professional	CQ	$72.44	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $56.23	Facility		$40.74	$40.74	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $85.11	Facility		$60.26	$75.86	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $60.26	Professional		$25.12	$38.90	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $37.15 / $37.15	Facility		$33.11	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $44.67	Professional		$30.90	$35.48	$44.67