Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $51.85 / $186.71	Facility		$24.48	$51.85	$186.71
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $64.26 / $64.26 / $122.90	Facility	CO	$64.26	$64.26	$122.90
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $58.20 / $99.64 / $805.15	Facility	CQ	$58.20	$99.64	$805.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $28.66 / $62.00	Professional		$14.40	$28.66	$62.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $27.13 / $159.49 / $159.49	Professional	CO	$27.13	$159.49	$159.49
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.56 / $64.95 / $115.20	Professional	CQ	$27.56	$64.95	$115.20
Ambetter Facility/Professional Professional Modifier CO Low / Median / High Price $25.90 / $25.90 / $25.90	Professional	CO	$25.90	$25.90	$25.90
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.61 / $48.93 / $48.93	Professional	CQ	$24.61	$48.93	$48.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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 $29.19 / $56.30 / $114.34	Professional		$29.19	$56.30	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $34.36 / $42.09	Professional		$25.16	$34.36	$42.09