Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $39.68 / $326.00	Facility		$21.17	$39.68	$326.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $64.40 / $73.72 / $227.37	Facility	CO	$64.40	$73.72	$227.37
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $31.58 / $312.00 / $312.00	Facility	CQ	$31.58	$312.00	$312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $23.69 / $155.00	Professional		$14.40	$23.69	$155.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $55.23 / $55.23 / $55.23	Professional	CQ	$55.23	$55.23	$55.23
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $24.92 / $24.92 / $24.92	Professional	CQ	$24.92	$24.92	$24.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $33.04 / $57.77	Professional		$21.22	$33.04	$57.77
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 $16.60 / $41.01 / $108.10	Professional		$16.60	$41.01	$108.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $149.85 / $170.34	Facility		$68.92	$149.85	$170.34
Lucent Health Facility/Professional Facility Modifier CO Low / Median / High Price $42.50 / $127.37 / $144.79	Facility	CO	$42.50	$127.37	$144.79
Lucent Health Facility/Professional Facility Modifier CQ Low / Median / High Price $42.50 / $127.37 / $144.79	Facility	CQ	$42.50	$127.37	$144.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $207.96 / $207.96 / $270.23	Professional		$207.96	$207.96	$270.23
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $31.51 / $35.01	Professional		$28.01	$31.51	$35.01