Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $97.70 / $231.84	Facility		$32.88	$97.70	$231.84
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $59.09 / $78.80 / $203.50	Facility	CO	$59.09	$78.80	$203.50
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $76.19 / $90.72 / $225.15	Facility	CQ	$76.19	$90.72	$225.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $25.98 / $53.60	Professional		$14.40	$25.98	$53.60
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $51.88 / $51.88 / $126.03	Professional	CO	$51.88	$51.88	$126.03
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $31.00 / $57.80 / $83.83	Professional	CQ	$31.00	$57.80	$83.83
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $42.74 / $42.74 / $52.61	Professional	CQ	$42.74	$42.74	$52.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $25.71 / $112.00	Facility		$24.80	$25.71	$112.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $25.71 / $36.50	Professional		$18.37	$25.71	$36.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $39.46 / $46.03	Facility		$32.84	$39.46	$46.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $37.72 / $44.39	Professional		$32.88	$37.72	$44.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $95.00	Facility		$65.00	$75.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $47.90 / $111.17	Professional		$26.40	$47.90	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $33.56 / $39.75	Professional		$27.83	$33.56	$39.75