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 / $19.66 / $91.00	Professional		$0.02	$19.66	$91.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $11.80 / $11.80	Professional		$11.80	$11.80	$11.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Facility		$9.64	$9.64	$9.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $9.64 / $13.01	Professional		$6.56	$9.64	$13.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $16.93 / $27.86	Professional		$15.62	$16.93	$27.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $15.25	Facility		$0.02	$0.02	$15.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $26.60	Professional		$15.25	$15.25	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $30.00 / $30.00	Professional		$15.58	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.07 / $14.51	Professional		$6.77	$10.07	$14.51