Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $33.71 / $92.40	Facility		$21.61	$33.71	$92.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $21.61 / $26.38	Professional		$21.61	$21.61	$26.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $18.84	Professional		$18.84	$18.84	$18.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $25.96 / $45.19	Facility		$18.45	$25.96	$45.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $17.05 / $18.25	Professional		$16.21	$17.05	$18.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $22.75 / $85.19	Professional		$11.45	$22.75	$85.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $21.61 / $86.11	Facility		$20.53	$21.61	$86.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $26.70 / $31.24	Professional		$20.53	$26.70	$31.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $20.72 / $33.91	Professional		$18.84	$20.72	$33.91
United Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $20.48 / $27.30	Facility		$9.56	$20.48	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $16.07 / $28.02	Professional		$9.56	$16.07	$28.02