Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.13 / $91.20	Facility		$10.23	$14.13	$91.20
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $60.26 / $74.13 / $436.52	Facility	CQ	$60.26	$74.13	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $25.70	Professional		$7.94	$10.00	$25.70
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.59 / $7.76 / $26.30	Professional	CQ	$7.59	$7.76	$26.30
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $9.12 / $9.12 / $9.12	Professional	CQ	$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $30.20	Facility		$17.78	$22.91	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $29.51	Professional		$11.75	$13.18	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.98	Professional		$16.22	$16.22	$16.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.75 / $18.20	Facility		$8.91	$11.75	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $26.30	Professional		$10.23	$13.49	$26.30
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $85.11	Facility		$79.43	$79.43	$85.11
Wellcare Facility/Professional Facility Modifier CQ Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	CQ	$67.61	$67.61	$67.61
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $104.71	Professional		$77.62	$77.62	$104.71