Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $92.20 / $353.43	Facility		$32.99	$92.20	$353.43
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $97.60 / $260.68 / $424.20	Facility	CO	$97.60	$260.68	$424.20
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $61.36 / $110.92 / $247.00	Facility	CQ	$61.36	$110.92	$247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $28.66 / $60.54	Professional		$17.77	$28.66	$60.54
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $51.88 / $54.47 / $54.47	Professional	CO	$51.88	$54.47	$54.47
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.58 / $58.67 / $289.00	Professional	CQ	$30.58	$58.67	$289.00
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $32.86 / $32.86 / $35.85	Professional	CQ	$32.86	$32.86	$35.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $89.10 / $373.33	Facility		$48.16	$89.10	$373.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $35.72 / $36.79	Professional		$31.80	$35.72	$36.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Facility		$60.00	$70.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $53.96 / $109.73	Professional		$27.37	$53.96	$109.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $49.46 / $85.46	Professional		$33.19	$49.46	$85.46
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $43.59 / $46.15	Professional		$42.86	$43.59	$46.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $49.70	Professional		$32.34	$32.34	$49.70
United Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $35.82 / $47.86	Professional		$26.72	$35.82	$47.86