Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $44.67	Professional		$19.05	$19.05	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $20.89	Professional		$17.38	$20.42	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.55 / $9.55	Professional		$9.12	$9.55	$9.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.38	Professional		$16.98	$16.98	$21.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $39.81 / $44.67	Facility		$15.14	$39.81	$44.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $28.84	Professional		$15.14	$19.05	$28.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $18.62	Facility		$6.03	$12.02	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.00 / $14.79	Professional		$6.76	$10.00	$14.79