Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $32.10 / $112.35	Facility		$25.68	$32.10	$112.35
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $57.30 / $119.40 / $125.99	Facility	CQ	$57.30	$119.40	$125.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.09 / $33.69	Professional		$14.40	$19.09	$33.69
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.55 / $19.55 / $19.55	Professional	CQ	$19.55	$19.55	$19.55
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $31.50 / $31.50 / $31.50	Professional	CQ	$31.50	$31.50	$31.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $39.42	Facility		$30.32	$30.32	$39.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $39.11 / $39.11	Professional		$39.11	$39.11	$39.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $29.36 / $30.32	Facility		$27.56	$29.36	$30.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $85.00	Facility		$65.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $60.00 / $114.34	Professional		$25.55	$60.00	$114.34
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $36.22 / $36.22 / $36.22	Professional	CQ	$36.22	$36.22	$36.22
United Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $26.69 / $34.45	Professional		$23.28	$26.69	$34.45