Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $50.47 / $395.00	Facility		$23.42	$50.47	$395.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $77.04 / $332.00 / $395.00	Facility	CO	$77.04	$332.00	$395.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $40.79 / $40.79 / $98.94	Facility	CQ	$40.79	$40.79	$98.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $24.70 / $54.74	Professional		$15.67	$24.70	$54.74
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $27.38 / $27.38 / $27.38	Professional	CO	$27.38	$27.38	$27.38
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $20.23 / $25.67 / $26.96	Professional	CQ	$20.23	$25.67	$26.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $34.64 / $64.80	Professional		$23.81	$34.64	$64.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $42.08 / $51.22	Facility		$30.51	$42.08	$51.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $32.74 / $41.85	Professional		$30.52	$32.74	$41.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $65.00 / $80.00	Facility		$32.01	$65.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $54.94 / $113.01	Professional		$22.58	$54.94	$113.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $39.08 / $90.00	Professional		$26.57	$39.08	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $27.56 / $50.94	Professional		$22.55	$27.56	$50.94
United Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $34.31 / $44.26	Professional		$23.87	$34.31	$44.26