Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $37.00 / $123.00	Professional		$0.02	$37.00	$123.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $14.42 / $14.42	Professional		$14.42	$14.42	$14.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Facility		$12.14	$12.14	$12.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $12.14 / $16.39	Professional		$8.26	$12.14	$16.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $22.72 / $28.40	Professional		$10.60	$22.72	$28.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $9.40	Facility		$0.02	$0.02	$9.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.40 / $11.80	Professional		$9.40	$9.40	$11.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00