Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $25.44 / $96.67	Facility		$25.44	$25.44	$96.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $24.28 / $46.68	Professional		$22.77	$24.28	$46.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $30.30 / $53.22	Facility		$21.04	$30.30	$53.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $20.09 / $27.12	Professional		$13.66	$20.09	$27.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $30.98 / $38.72	Professional		$20.59	$30.98	$38.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $25.44 / $84.47	Facility		$17.98	$25.44	$84.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.28 / $33.47	Professional		$17.98	$24.28	$33.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.17 / $30.00	Professional		$19.95	$22.17	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $45.50	Facility		$26.78	$26.78	$45.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.33 / $17.14	Professional		$8.28	$11.33	$17.14