Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $110.35 / $287.00	Facility		$20.79	$110.35	$287.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $96.19 / $197.28 / $394.56	Facility	CO	$96.19	$197.28	$394.56
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $39.09 / $80.17 / $197.00	Facility	CQ	$39.09	$80.17	$197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.70 / $34.35	Professional		$17.78	$22.70	$34.35
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.92 / $24.92 / $24.92	Professional	CQ	$24.92	$24.92	$24.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $55.00 / $65.00	Facility		$45.00	$55.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $43.08 / $105.85	Professional		$22.61	$43.08	$105.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $15.80 / $22.12	Facility		$11.34	$15.80	$22.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $22.05 / $26.76	Professional		$17.39	$22.05	$26.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $35.19 / $50.46	Professional		$25.82	$35.19	$50.46
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $24.65 / $36.47	Professional		$21.45	$24.65	$36.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $27.33 / $27.33	Professional		$27.33	$27.33	$27.33