Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $115.67 / $301.83	Facility		$47.63	$115.67	$301.83
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $84.44 / $84.75 / $112.21	Facility	CO	$84.44	$84.75	$112.21
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $72.70 / $80.48 / $207.53	Facility	CQ	$72.70	$80.48	$207.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $52.92 / $290.00	Professional		$21.89	$52.92	$290.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $49.44 / $52.52 / $152.36	Professional	CO	$49.44	$52.52	$152.36
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $31.06 / $97.44 / $211.45	Professional	CQ	$31.06	$97.44	$211.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $304.82 / $589.62	Facility		$231.75	$304.82	$589.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $54.40 / $76.43	Professional		$33.64	$54.40	$76.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $48.00 / $110.00	Facility		$43.77	$48.00	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $55.49 / $80.78	Professional		$30.43	$55.49	$80.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $86.24 / $161.97	Facility		$35.60	$86.24	$161.97
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 $30.11 / $57.26 / $78.89	Professional		$30.11	$57.26	$78.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $54.06 / $70.08	Facility		$43.77	$54.06	$70.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $56.29 / $87.09	Professional		$41.91	$56.29	$87.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $66.75 / $74.97	Professional		$34.36	$66.75	$74.97
United Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $37.72 / $91.72	Professional		$30.11	$37.72	$91.72