Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $30.30 / $84.73	Facility		$21.64	$30.30	$84.73
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $70.70 / $70.70 / $90.76	Facility	CQ	$70.70	$70.70	$90.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.06 / $36.11	Professional		$14.40	$23.06	$36.11
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $20.48 / $20.48 / $20.48	Professional	CO	$20.48	$20.48	$20.48
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $26.91 / $33.31 / $40.33	Professional	CQ	$26.91	$33.31	$40.33
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.92 / $24.92 / $24.92	Professional	CQ	$24.92	$24.92	$24.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $28.19 / $41.76	Facility		$25.37	$28.19	$41.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.01 / $34.04	Professional		$17.73	$23.01	$34.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $34.36 / $42.71	Facility		$29.89	$34.36	$42.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $35.10 / $43.34	Professional		$29.89	$35.10	$43.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $65.00 / $82.00	Facility		$39.13	$65.00	$82.00
Cigna Facility/Professional Facility Modifier CO Low / Median / High Price $31.05 / $31.05 / $31.05	Facility	CO	$31.05	$31.05	$31.05
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $31.05 / $31.05 / $31.05	Facility	CQ	$31.05	$31.05	$31.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $42.71 / $114.34	Professional		$22.45	$42.71	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $32.34 / $32.34	Professional		$11.48	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $29.35 / $38.43	Professional		$24.95	$29.35	$38.43