Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Facility		$42.61	$42.61	$42.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $42.61 / $42.61	Professional		$25.36	$42.61	$42.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $30.84 / $30.84	Professional		$30.84	$30.84	$30.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $69.81 / $121.35	Facility		$49.09	$69.81	$121.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $48.20 / $66.92	Professional		$11.95	$48.20	$66.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Facility		$42.12	$42.12	$42.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $47.21 / $79.67	Professional		$31.37	$47.21	$79.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $32.43 / $42.61	Facility		$32.43	$32.43	$42.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $40.04 / $56.03	Professional		$32.43	$40.04	$56.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $32.80 / $45.08	Professional		$26.17	$32.80	$45.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $38.82 / $54.68	Professional		$33.36	$38.82	$54.68