Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $104.71 / $389.05	Facility		$19.95	$104.71	$389.05
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $29.51 / $89.13 / $457.09	Facility	CQ	$29.51	$89.13	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $83.18	Professional		$15.85	$27.54	$83.18
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $17.78 / $104.71 / $154.88	Professional	CO	$17.78	$104.71	$154.88
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.78 / $40.74 / $89.13	Professional	CQ	$17.78	$40.74	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $21.88	Professional		$20.89	$20.89	$21.88
Ambetter Facility/Professional Professional Modifier CO Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	CO	$58.88	$58.88	$58.88
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $19.05 / $22.39 / $34.67	Professional	CQ	$19.05	$22.39	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $70.79	Facility		$44.67	$54.95	$70.79
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	CQ	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $40.74	Professional		$18.20	$21.88	$40.74
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $23.44	Facility		$10.23	$14.79	$23.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.05 / $25.70	Professional		$9.12	$19.05	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $27.54 / $27.54	Facility		$15.85	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $29.51	Professional		$17.78	$20.89	$29.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $30.90	Professional		$23.44	$23.44	$30.90