Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $82.08 / $309.13	Facility		$31.47	$82.08	$309.13
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $117.04 / $305.00 / $489.64	Facility	CO	$117.04	$305.00	$489.64
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $43.29 / $117.22 / $213.19	Facility	CQ	$43.29	$117.22	$213.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $31.09 / $211.65	Professional		$14.40	$31.09	$211.65
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $152.00 / $152.00 / $152.00	Professional	CO	$152.00	$152.00	$152.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $47.10 / $47.10 / $145.00	Professional	CQ	$47.10	$47.10	$145.00
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.19 / $24.19 / $24.19	Professional	CQ	$24.19	$24.19	$24.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $51.93 / $131.75	Facility		$21.14	$51.93	$131.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $33.83 / $60.38	Professional		$19.84	$33.83	$60.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $58.00 / $82.00	Facility		$55.00	$58.00	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $61.50 / $109.73	Professional		$31.03	$61.50	$109.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $34.06 / $161.97	Facility		$27.26	$34.06	$161.97
Medica Facility/Professional Facility Modifier CO Low / Median / High Price $65.76 / $137.66 / $137.66	Facility	CO	$65.76	$137.66	$137.66
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $65.76 / $137.66 / $137.66	Facility	CQ	$65.76	$137.66	$137.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $34.36 / $108.04	Professional		$26.25	$34.36	$108.04
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $34.11 / $40.42	Professional		$27.88	$34.11	$40.42