Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $68.42 / $431.60	Facility		$25.56	$68.42	$431.60
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $121.50 / $195.16 / $259.85	Facility	CO	$121.50	$195.16	$259.85
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $122.25 / $307.52	Facility	CQ	$42.50	$122.25	$307.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $29.45 / $66.53	Professional		$17.79	$29.45	$66.53
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $105.00 / $105.00 / $105.00	Professional	CO	$105.00	$105.00	$105.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.80 / $33.36 / $65.58	Professional	CQ	$28.80	$33.36	$65.58
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.68 / $20.68 / $41.99	Professional	CQ	$20.68	$20.68	$41.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $38.88 / $72.70	Professional		$25.20	$38.88	$72.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $45.22 / $55.34	Facility		$32.84	$45.22	$55.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $35.15 / $44.97	Professional		$32.88	$35.15	$44.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $65.00 / $80.00	Facility		$34.59	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $57.51 / $112.19	Professional		$23.00	$57.51	$112.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $41.99 / $90.00	Professional		$28.71	$41.99	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $33.61 / $58.19	Professional		$24.23	$33.61	$58.19
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $35.54 / $47.82	Professional		$23.88	$35.54	$47.82