Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $40.11 / $140.00	Facility		$17.57	$40.11	$140.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $30.56 / $135.00 / $135.00	Facility	CQ	$30.56	$135.00	$135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $22.73 / $60.94	Professional		$13.00	$22.73	$60.94
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.63 / $32.03 / $120.66	Professional	CQ	$17.63	$32.03	$120.66
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $18.48 / $18.48 / $18.48	Professional	CQ	$18.48	$18.48	$18.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $34.32 / $34.32	Facility		$33.04	$34.32	$34.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $37.00	Professional		$37.00	$37.00	$37.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $53.37 / $114.34	Professional		$25.24	$53.37	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $25.98 / $38.06	Professional		$21.98	$25.98	$38.06