Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $109.34 / $259.12	Facility		$25.93	$109.34	$259.12
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $34.31 / $184.70 / $499.61	Facility	CQ	$34.31	$184.70	$499.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $21.50 / $67.72	Professional		$16.27	$21.50	$67.72
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $68.56 / $68.56 / $68.56	Professional	CO	$68.56	$68.56	$68.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.48 / $22.01 / $75.72	Professional	CQ	$17.48	$22.01	$75.72
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $14.80 / $14.80 / $14.80	Professional	CQ	$14.80	$14.80	$14.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $86.26 / $155.16	Facility		$35.72	$86.26	$155.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.99 / $35.86	Professional		$19.00	$25.99	$35.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $40.00 / $120.00	Facility		$21.00	$40.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $44.47 / $114.99	Professional		$20.30	$44.47	$114.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $26.70 / $46.23	Facility		$19.14	$26.70	$46.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $40.00 / $45.00	Professional		$25.25	$40.00	$45.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $33.79 / $33.79	Professional		$33.79	$33.79	$33.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $25.94 / $28.82	Professional		$22.49	$25.94	$28.82