Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $49.26 / $173.77	Facility		$20.76	$49.26	$173.77
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $20.27 / $88.50 / $309.00	Facility	CQ	$20.27	$88.50	$309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $25.00 / $202.00	Professional		$16.03	$25.00	$202.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.48 / $38.38 / $122.38	Professional	CQ	$15.48	$38.38	$122.38
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $14.80 / $14.80 / $20.93	Professional	CQ	$14.80	$14.80	$20.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $17.39 / $43.02	Professional		$12.75	$17.39	$43.02
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 $17.14 / $36.75 / $111.17	Professional		$17.14	$36.75	$111.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $31.88 / $100.00	Facility		$18.61	$31.88	$100.00
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $53.31 / $108.09 / $108.09	Facility	CQ	$53.31	$108.09	$108.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $25.61 / $171.17	Professional		$19.55	$25.61	$171.17
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $40.58 / $40.58 / $40.58	Professional	CQ	$40.58	$40.58	$40.58
United Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.54 / $40.19	Professional		$19.55	$24.54	$40.19