Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $68.86 / $98.63	Facility		$37.36	$68.86	$98.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $37.36 / $62.70	Professional		$27.78	$37.36	$62.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Professional		$36.36	$36.36	$36.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.26 / $92.35 / $174.69	Facility		$51.26	$92.35	$174.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $40.14 / $42.25	Professional		$40.14	$40.14	$42.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $47.32 / $47.32	Professional		$28.63	$47.32	$47.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $63.70 / $107.21	Facility		$37.36	$63.70	$107.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $37.36 / $58.90	Professional		$28.65	$37.36	$58.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.05 / $41.82 / $42.97	Professional		$39.05	$41.82	$42.97
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $49.16 / $50.70	Professional		$42.25	$49.16	$50.70