Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $45.71	Facility		$17.38	$17.38	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $26.92	Professional		$12.88	$16.98	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.42 / $36.31	Facility		$13.49	$20.42	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $18.20	Professional		$13.49	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.20 / $25.70	Professional		$9.12	$18.20	$25.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $45.71	Facility		$17.38	$17.38	$45.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $25.12	Professional		$14.13	$18.20	$25.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $20.89	Professional		$8.13	$10.23	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $18.20 / $18.20	Facility		$9.12	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.78 / $18.62	Professional		$9.12	$17.78	$18.62