Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $25.62 / $35.35	Facility		$0.02	$25.62	$35.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $64.00 / $108.00	Professional		$0.02	$64.00	$108.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $11.76	Professional		$11.76	$11.76	$11.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $9.81 / $9.81	Facility		$9.81	$9.81	$9.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.81 / $13.24	Professional		$6.67	$9.81	$13.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $14.74 / $16.53	Professional		$13.22	$14.74	$16.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $14.38 / $14.38	Facility		$0.02	$14.38	$14.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $14.38 / $18.04	Professional		$14.38	$14.38	$18.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.00 / $30.00	Professional		$15.85	$30.00	$30.00