Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $19.77 / $30.84	Facility		$19.77	$19.77	$30.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.77 / $19.77	Professional		$17.05	$19.77	$19.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $14.60 / $14.60	Facility		$14.60	$14.60	$14.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $14.60 / $19.71	Professional		$9.93	$14.60	$19.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $23.95 / $29.94	Professional		$13.19	$23.95	$29.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $19.77 / $34.60	Facility		$18.78	$19.77	$34.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $24.97 / $29.13	Professional		$18.87	$24.97	$29.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.23 / $30.00	Professional		$15.50	$17.23	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.52 / $18.05	Professional		$8.74	$12.52	$18.05