Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $42.18 / $190.25	Facility		$33.74	$42.18	$190.25
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $48.51 / $58.20 / $99.64	Facility	CQ	$48.51	$58.20	$99.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.92 / $56.83	Professional		$14.40	$24.92	$56.83
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $27.13 / $159.49 / $159.49	Professional	CO	$27.13	$159.49	$159.49
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.68 / $66.55 / $129.87	Professional	CQ	$27.68	$66.55	$129.87
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $40.00 / $40.00 / $40.00	Professional	CQ	$40.00	$40.00	$40.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $37.57 / $48.84	Facility		$37.57	$37.57	$48.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $48.35 / $48.35	Professional		$48.35	$48.35	$48.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $34.82 / $36.11	Facility		$32.84	$34.82	$36.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $85.00	Facility		$65.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $59.77 / $114.99	Professional		$28.83	$59.77	$114.99
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $46.00 / $46.00 / $46.00	Professional	CQ	$46.00	$46.00	$46.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $34.36 / $41.31	Professional		$28.65	$34.36	$41.31