Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $74.13 / $158.49	Facility		$23.99	$74.13	$158.49
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $72.44 / $100.00 / $269.15	Facility	CQ	$72.44	$100.00	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.91 / $69.18	Professional		$15.49	$22.91	$69.18
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.50 / $40.74 / $131.83	Professional	CQ	$19.50	$40.74	$131.83
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	CQ	$21.88	$21.88	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $239.88	Facility		$38.02	$66.07	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $31.62	Professional		$28.18	$29.51	$31.62
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 $19.95 / $34.67 / $52.48	Professional		$19.95	$34.67	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $61.66	Professional		$27.54	$39.81	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $38.02	Professional		$36.31	$36.31	$38.02
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 $28.84 / $31.62 / $47.86	Facility		$28.84	$31.62	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $38.02	Professional		$21.88	$27.54	$38.02