Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $82.42 / $182.36	Facility		$30.54	$82.42	$182.36
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $29.10 / $66.47 / $101.63	Facility	CQ	$29.10	$66.47	$101.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.54 / $115.00	Professional		$14.40	$28.54	$115.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.06 / $16.85 / $18.91	Professional	CQ	$12.06	$16.85	$18.91
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $19.73 / $19.73 / $19.73	Professional	CQ	$19.73	$19.73	$19.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $148.72 / $287.66	Facility		$113.07	$148.72	$287.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $43.89 / $61.65	Professional		$27.10	$43.89	$61.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $33.70 / $94.00	Facility		$33.00	$33.70	$94.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $44.23 / $67.48	Professional		$25.08	$44.23	$67.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $59.62 / $135.00	Facility		$26.01	$59.62	$135.00
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 $23.38 / $29.23 / $78.34	Professional		$23.38	$29.23	$78.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.70 / $44.23 / $56.55	Facility		$33.70	$44.23	$56.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $44.52 / $70.27	Professional		$33.00	$44.52	$70.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $55.92 / $62.55	Professional		$28.78	$55.92	$62.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $29.23 / $71.06	Professional		$23.62	$29.23	$71.06