Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $41.69	Professional		$18.62	$21.88	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $25.70	Professional		$18.62	$21.88	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $43.65 / $89.13	Facility		$21.38	$43.65	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.50 / $19.50	Professional		$18.62	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.44 / $64.57	Facility		$17.38	$23.44	$64.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $39.81	Professional		$21.88	$21.88	$39.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $36.31	Facility		$21.88	$21.88	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $25.12	Professional		$19.95	$23.99	$25.12