Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $23.99 / $114.15	Facility		$17.00	$23.99	$114.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $22.45 / $23.99	Professional		$20.71	$22.45	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $17.54	Professional		$17.54	$17.54	$17.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $28.57 / $50.17	Facility		$19.84	$28.57	$50.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.94 / $25.57	Professional		$12.88	$18.94	$25.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $28.91 / $36.14	Professional		$19.41	$28.91	$36.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $24.42 / $107.84	Facility		$21.59	$24.42	$107.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $30.30 / $37.64	Professional		$21.72	$30.30	$37.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.81 / $20.91 / $28.22	Professional		$18.81	$20.91	$28.22
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $20.78 / $21.91	Professional		$10.61	$20.78	$21.91