Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $35.34 / $326.00	Facility		$16.47	$35.34	$326.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $6.47 / $75.00 / $309.00	Facility	CQ	$6.47	$75.00	$309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $20.26 / $112.00	Professional		$13.00	$20.26	$112.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.70 / $43.73 / $218.52	Professional	CQ	$17.70	$43.73	$218.52
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $14.80 / $18.48 / $18.48	Professional	CQ	$14.80	$18.48	$18.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $28.32 / $49.07	Professional		$17.62	$28.32	$49.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $95.00	Facility		$55.00	$65.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $35.49 / $108.10	Professional		$14.22	$35.49	$108.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $127.16 / $143.31	Facility		$58.93	$127.16	$143.31
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $36.54 / $108.09 / $121.81	Facility	CQ	$36.54	$108.09	$121.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $171.17 / $228.30	Professional		$171.17	$171.17	$228.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $26.74 / $30.13	Professional		$23.10	$26.74	$30.13