Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $54.36 / $208.07	Facility		$25.39	$54.36	$208.07
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $73.69 / $73.69 / $73.69	Facility	CO	$73.69	$73.69	$73.69
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $51.04 / $53.71 / $74.59	Facility	CQ	$51.04	$53.71	$74.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $25.39 / $34.82	Professional		$14.40	$25.39	$34.82
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $51.97 / $51.97 / $51.97	Professional	CO	$51.97	$51.97	$51.97
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $32.58 / $45.34 / $79.53	Professional	CQ	$32.58	$45.34	$79.53
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.60 / $24.60 / $40.00	Professional	CQ	$24.60	$24.60	$40.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $85.33 / $135.06	Facility		$52.03	$85.33	$135.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $36.75 / $50.46	Professional		$28.88	$36.75	$50.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $89.00	Facility		$55.00	$65.00	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $65.06 / $113.98	Professional		$26.33	$65.06	$113.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $33.49 / $125.00	Facility		$24.13	$33.49	$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 $27.29 / $34.36 / $65.31	Professional		$27.29	$34.36	$65.31
United Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $34.36 / $37.27	Professional		$27.81	$34.36	$37.27