Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $39.47 / $116.00	Facility		$20.96	$39.47	$116.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $50.59 / $65.27 / $315.00	Facility	CQ	$50.59	$65.27	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.96 / $116.00	Professional		$14.40	$20.96	$116.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.66 / $48.82 / $131.05	Professional	CQ	$21.66	$48.82	$131.05
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $31.50 / $31.50 / $31.50	Professional	CQ	$31.50	$31.50	$31.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $17.39 / $44.00	Professional		$14.07	$17.39	$44.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $68.00 / $85.00	Facility		$55.00	$68.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $38.56 / $108.10	Professional		$18.60	$38.56	$108.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $30.58 / $102.00	Facility		$19.19	$30.58	$102.00
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $56.39 / $114.53 / $114.53	Facility	CQ	$56.39	$114.53	$114.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $27.13 / $186.26	Professional		$20.75	$27.13	$186.26
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 $19.87 / $26.38 / $38.46	Professional		$19.87	$26.38	$38.46