Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $36.72 / $57.00	Facility		$20.37	$36.72	$57.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $21.23 / $55.35 / $60.41	Facility	CQ	$21.23	$55.35	$60.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.10 / $22.98	Professional		$14.40	$20.10	$22.98
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $16.17 / $21.24 / $24.98	Professional	CQ	$16.17	$21.24	$24.98
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 $49.81 / $85.09 / $135.06	Facility		$49.81	$85.09	$135.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $28.70 / $39.40	Professional		$22.55	$28.70	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $89.00	Facility		$55.00	$65.00	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $62.87 / $111.17	Professional		$21.77	$62.87	$111.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $27.21 / $84.00	Facility		$19.36	$27.21	$84.00
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 $22.18 / $26.38 / $186.26	Professional		$22.18	$26.38	$186.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $26.38 / $30.37	Professional		$21.73	$26.38	$30.37