Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $55.24 / $454.24	Facility		$28.32	$55.24	$454.24
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $156.49 / $202.35 / $315.00	Facility	CO	$156.49	$202.35	$315.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $53.00 / $98.20 / $366.26	Facility	CQ	$53.00	$98.20	$366.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $32.50 / $300.00	Professional		$17.87	$32.50	$300.00
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 $36.79 / $77.91 / $272.72	Professional	CQ	$36.79	$77.91	$272.72
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.68 / $20.68 / $40.00	Professional	CQ	$20.68	$20.68	$40.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $18.85 / $52.87	Professional		$13.13	$18.85	$52.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $68.00 / $85.00	Facility		$55.00	$68.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $47.75 / $113.94	Professional		$23.12	$47.75	$113.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $38.36 / $125.00	Facility		$23.86	$38.36	$125.00
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 $25.77 / $34.36 / $289.41	Professional		$25.77	$34.36	$289.41
Qualchoice Facility/Professional Professional Modifier CQ Low / Median / High Price $46.00 / $46.00 / $46.00	Professional	CQ	$46.00	$46.00	$46.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $34.36 / $53.17	Professional		$25.75	$34.36	$53.17