Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $50.08 / $373.00	Facility		$18.07	$50.08	$373.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $15.94 / $74.16 / $451.00	Facility	CQ	$15.94	$74.16	$451.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $21.88 / $52.50	Professional		$15.53	$21.88	$52.50
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.28 / $87.28 / $105.00	Professional	CO	$87.28	$87.28	$105.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.48 / $23.00 / $59.64	Professional	CQ	$17.48	$23.00	$59.64
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $14.80 / $14.80 / $30.07	Professional	CQ	$14.80	$14.80	$30.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $28.97 / $53.59	Professional		$19.89	$28.97	$53.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $35.97 / $43.47	Facility		$26.03	$35.97	$43.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $28.04 / $35.77	Professional		$26.00	$28.04	$35.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $65.00 / $80.00	Facility		$27.17	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $51.51 / $113.01	Professional		$18.79	$51.51	$113.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $33.40 / $90.00	Professional		$22.55	$33.40	$90.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $18.98 / $18.98 / $18.98	Professional	52	$18.98	$18.98	$18.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $26.11 / $45.10	Professional		$19.27	$26.11	$45.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $28.84 / $38.14	Professional		$20.95	$28.84	$38.14