Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $17.30 / $49.80	Facility		$15.05	$17.30	$49.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $15.00 / $33.34	Professional		$8.84	$15.00	$33.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $43.08 / $43.08	Professional		$43.08	$43.08	$43.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $18.85 / $33.11	Facility		$13.09	$18.85	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $12.50 / $16.88	Professional		$8.50	$12.50	$16.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $19.41 / $24.26	Professional		$12.83	$19.41	$24.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $19.67 / $75.23	Facility		$15.05	$19.67	$75.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $19.95 / $24.86	Professional		$14.17	$19.95	$24.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $13.80 / $18.63	Professional		$12.42	$13.80	$18.63
United Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $13.66 / $18.42	Professional		$7.00	$13.66	$18.42