Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $21.79 / $107.51	Facility		$19.61	$21.79	$107.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $20.50 / $21.79	Professional		$18.80	$20.50	$21.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $15.93 / $20.65	Professional		$15.93	$15.93	$20.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $25.96 / $45.59	Facility		$18.03	$25.96	$45.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $17.21 / $23.23	Professional		$11.70	$17.21	$23.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $26.43 / $33.04	Professional		$14.60	$26.43	$33.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $21.79 / $65.20	Facility		$12.72	$21.79	$65.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $20.50 / $27.52	Professional		$10.64	$20.50	$27.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $19.00 / $25.65	Professional		$17.10	$19.00	$25.65
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.94 / $13.76	Professional		$4.90	$6.94	$13.76