Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $127.40 / $331.25	Facility		$32.81	$127.40	$331.25
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $84.44 / $84.44 / $270.62	Facility	CO	$84.44	$84.44	$270.62
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $59.90 / $226.07 / $344.93	Facility	CQ	$59.90	$226.07	$344.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $26.40 / $52.50	Professional		$18.14	$26.40	$52.50
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $68.56 / $68.56 / $68.56	Professional	CO	$68.56	$68.56	$68.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.02 / $58.23 / $197.19	Professional	CQ	$30.02	$58.23	$197.19
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.68 / $20.68 / $20.68	Professional	CQ	$20.68	$20.68	$20.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $69.41 / $121.02	Facility		$31.19	$69.41	$121.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $26.91 / $41.52	Professional		$23.00	$26.91	$41.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $40.00 / $120.00	Facility		$22.05	$40.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $54.94 / $114.34	Professional		$23.29	$54.94	$114.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $31.59 / $56.00	Facility		$25.90	$31.59	$56.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.00 / $28.07	Professional		$20.00	$23.00	$28.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $37.00 / $57.79	Professional		$28.98	$37.00	$57.79
United Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $34.11 / $38.28	Professional		$27.37	$34.11	$38.28