Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $30.69 / $53.71	Facility		$15.00	$30.69	$53.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $27.96 / $30.69	Professional		$26.49	$27.96	$30.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.38 / $36.54 / $64.18	Facility		$25.38	$36.54	$64.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $24.23 / $32.71	Professional		$16.48	$24.23	$32.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $37.17 / $46.46	Professional		$24.84	$37.17	$46.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $30.69 / $56.39	Facility		$21.47	$30.69	$56.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $38.76 / $45.22	Professional		$27.46	$38.76	$45.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $26.74 / $36.09	Professional		$24.06	$26.74	$36.09
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $20.67 / $25.64	Professional		$13.57	$20.67	$25.64