Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $48.98	Facility		$15.14	$19.50	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $33.11	Professional		$11.75	$15.14	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $42.66	Professional		$7.08	$7.08	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $18.62 / $33.11	Facility		$12.59	$18.62	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.59 / $12.59	Professional		$11.75	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.50 / $23.99	Professional		$11.75	$19.50	$23.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $64.57	Facility		$15.14	$19.50	$64.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $31.62	Professional		$12.88	$19.95	$31.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $20.42	Professional		$10.47	$13.18	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.60 / $19.95	Facility		$10.00	$16.60	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.80 / $14.45	Professional		$7.08	$13.80	$14.45