Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $90.28 / $359.92	Facility		$24.48	$90.28	$359.92
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $75.00 / $75.00 / $442.90	Facility	CO	$75.00	$75.00	$442.90
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $37.94 / $64.59 / $206.59	Facility	CQ	$37.94	$64.59	$206.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $25.90 / $152.00	Professional		$15.00	$25.90	$152.00
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $27.13 / $27.13 / $51.96	Professional	CO	$27.13	$27.13	$51.96
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.68 / $58.23 / $115.20	Professional	CQ	$27.68	$58.23	$115.20
Ambetter Facility/Professional Professional Modifier CO Low / Median / High Price $25.90 / $25.90 / $50.19	Professional	CO	$25.90	$25.90	$50.19
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $20.68 / $24.61 / $50.19	Professional	CQ	$20.68	$24.61	$50.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $34.47 / $59.61	Professional		$23.03	$34.47	$59.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $95.00	Facility		$55.00	$65.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $43.60 / $111.21	Professional		$17.54	$43.60	$111.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $161.97 / $185.25	Facility		$95.40	$161.97	$185.25
Lucent Health Facility/Professional Facility Modifier CO Low / Median / High Price $44.97 / $137.66 / $157.46	Facility	CO	$44.97	$137.66	$157.46
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $44.97 / $137.66 / $157.46	Facility	CQ	$44.97	$137.66	$157.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $289.41 / $293.10	Professional		$289.41	$289.41	$293.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $34.36 / $40.42	Professional		$29.42	$34.36	$40.42