Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $99.77 / $425.20	Facility		$29.45	$99.77	$425.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $25.96 / $34.96	Professional		$21.46	$25.96	$34.96
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $107.20 / $155.47 / $155.47	Professional	CQ	$107.20	$155.47	$155.47
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $55.63 / $55.63 / $55.63	Professional	CQ	$55.63	$55.63	$55.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $34.43 / $112.00	Facility		$31.75	$34.43	$112.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $29.41 / $45.59	Professional		$21.67	$29.41	$45.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $41.72 / $48.68	Facility		$34.72	$41.72	$48.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $39.08 / $46.94	Professional		$34.77	$39.08	$46.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $95.00	Facility		$65.00	$75.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $52.29 / $111.17	Professional		$28.53	$52.29	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $35.15 / $45.14	Professional		$30.00	$35.15	$45.14