Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $165.96 / $346.74	Facility		$25.70	$165.96	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $43.65	Professional		$20.89	$26.92	$43.65
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $77.62 / $87.10 / $204.17	Professional	CQ	$77.62	$87.10	$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 $41.69 / $95.50 / $181.97	Facility		$41.69	$95.50	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $50.12	Professional		$30.90	$35.48	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $39.81 / $120.23	Facility		$27.54	$39.81	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $42.66	Professional		$25.70	$30.90	$42.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $66.07	Facility		$22.91	$33.88	$66.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
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 $37.15 / $37.15 / $40.74	Facility		$37.15	$37.15	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $40.74	Professional		$28.84	$33.88	$40.74