Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $46.77	Facility		$19.95	$25.12	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $66.07	Professional		$16.98	$20.89	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.70 / $45.71	Facility		$17.38	$25.70	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $17.38	Professional		$16.22	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.30 / $33.11	Professional		$16.22	$26.30	$33.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $46.77	Facility		$18.20	$21.88	$46.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.95 / $30.90	Professional		$10.72	$19.95	$30.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $28.18	Professional		$14.45	$18.20	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.91 / $22.91	Facility		$11.48	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.92 / $13.80	Professional		$4.90	$6.92	$13.80