Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $114.82 / $323.59	Facility		$46.77	$114.82	$323.59
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	CO	$125.89	$125.89	$125.89
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $54.95 / $120.23 / $295.12	Facility	CQ	$54.95	$120.23	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.02 / $181.97	Professional		$19.95	$38.02	$181.97
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $26.92 / $54.95 / $457.09	Professional	CO	$26.92	$54.95	$457.09
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $29.51 / $39.81 / $93.33	Professional	CQ	$29.51	$39.81	$93.33
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	CQ	$26.30	$26.30	$26.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $104.71 / $147.91	Facility		$52.48	$104.71	$147.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $56.23	Professional		$30.90	$34.67	$56.23
AmeriHealth Facility/Professional Professional Modifier CQ Low / Median / High Price $35.48 / $36.31 / $60.26	Professional	CQ	$35.48	$36.31	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $39.81 / $74.13	Professional		$20.42	$39.81	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $81.28	Professional		$41.69	$69.18	$81.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $41.69	Professional		$28.84	$34.67	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $34.67 / $38.90	Facility		$31.62	$34.67	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $47.86	Professional		$22.91	$34.67	$47.86