Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.70 / $69.18	Facility		$19.05	$25.70	$69.18
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $20.42 / $20.42 / $20.42	Facility	CQ	$20.42	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $64.57	Professional		$7.94	$12.02	$64.57
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.76 / $20.42 / $22.91	Professional	CQ	$7.76	$20.42	$22.91
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $8.51 / $8.51 / $9.77	Professional	CQ	$8.51	$8.51	$9.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $288.40	Facility		$112.20	$141.25	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.78 / $24.55	Professional		$10.72	$17.78	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $28.18	Professional		$11.22	$17.38	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $70.79 / $102.33	Facility		$11.75	$70.79	$102.33
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	CQ	$48.98	$48.98	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $77.62	Professional		$18.20	$25.12	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $34.67	Professional		$18.62	$22.39	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $34.67	Professional		$28.18	$28.18	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.48 / $11.48	Facility		$10.23	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $34.67	Professional		$19.50	$24.55	$34.67