Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $125.76 / $396.18	Facility		$37.53	$125.76	$396.18
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $88.90 / $129.22 / $398.30	Facility	CO	$88.90	$129.22	$398.30
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $47.52 / $113.73 / $715.83	Facility	CQ	$47.52	$113.73	$715.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $25.65 / $41.98	Professional		$17.77	$25.65	$41.98
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $54.47 / $54.47 / $54.47	Professional	CO	$54.47	$54.47	$54.47
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.07 / $27.07 / $47.10	Professional	CQ	$27.07	$27.07	$47.10
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.68 / $20.68 / $20.68	Professional	CQ	$20.68	$20.68	$20.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $55.00 / $70.00	Facility		$45.00	$55.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $45.91 / $106.98	Professional		$25.47	$45.91	$106.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $15.60 / $21.84	Facility		$11.31	$15.60	$21.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $22.47 / $26.43	Professional		$17.18	$22.47	$26.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $34.63 / $50.25	Professional		$24.32	$34.63	$50.25
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $27.59 / $40.42	Professional		$20.93	$27.59	$40.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Professional		$29.54	$29.54	$29.54