Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $87.57 / $322.70	Facility		$35.81	$87.57	$322.70
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $56.96 / $91.98 / $191.00	Facility	CQ	$56.96	$91.98	$191.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $28.50 / $224.00	Professional		$14.30	$28.50	$224.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.77 / $13.77 / $13.77	Professional	52	$13.77	$13.77	$13.77
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $17.64 / $26.46 / $133.80	Professional	CO	$17.64	$26.46	$133.80
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.94 / $45.17 / $88.48	Professional	CQ	$17.94	$45.17	$88.48
Ambetter Facility/Professional Professional Modifier CO Low / Median / High Price $63.03 / $63.03 / $63.03	Professional	CO	$63.03	$63.03	$63.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $304.82 / $589.62	Facility		$231.75	$304.82	$589.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $40.43 / $56.82	Professional		$24.98	$40.43	$56.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $36.00 / $98.00	Facility		$30.98	$36.00	$98.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $41.00 / $63.68	Professional		$23.67	$41.00	$63.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $88.79 / $128.43	Facility		$26.63	$88.79	$128.43
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 $20.30 / $37.42 / $52.99	Professional		$20.30	$37.42	$52.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $40.94 / $52.10	Facility		$30.98	$40.94	$52.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $46.14 / $64.73	Professional		$33.56	$46.14	$64.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $52.77 / $59.65	Professional		$27.16	$52.77	$59.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $27.20 / $66.12	Professional		$21.76	$27.20	$66.12