Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $46.77 / $141.25	Facility		$23.99	$46.77	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $51.29	Professional		$21.88	$30.20	$51.29
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	CQ	$72.44	$72.44	$72.44
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 $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $85.11	Facility		$60.26	$70.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.02 / $56.23	Professional		$20.42	$38.02	$56.23
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 $33.11 / $37.15 / $40.74	Facility		$33.11	$37.15	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $45.71	Professional		$28.18	$33.88	$45.71