Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $102.33 / $389.05	Facility		$29.51	$102.33	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $112.20	Professional		$21.38	$28.84	$112.20
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $87.10 / $100.00 / $204.17	Professional	CQ	$87.10	$100.00	$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 $50.12 / $93.33 / $371.54	Facility		$50.12	$93.33	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $38.02	Professional		$33.11	$36.31	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $107.15	Facility		$44.67	$64.57	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $72.44	Professional		$24.55	$42.66	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $102.33	Professional		$34.67	$51.29	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $48.98	Professional		$45.71	$45.71	$48.98
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 $36.31 / $40.74 / $61.66	Facility		$36.31	$40.74	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $48.98	Professional		$31.62	$35.48	$48.98