Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $19.85 / $19.85	Facility		$19.85	$19.85	$19.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $16.66 / $20.83	Professional		$14.17	$16.66	$20.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $15.76	Professional		$15.76	$15.76	$15.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $24.90 / $24.90	Facility		$24.90	$24.90	$24.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $26.52 / $31.13	Professional		$23.24	$26.52	$31.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $18.72 / $43.64	Professional		$14.51	$18.72	$43.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $14.32 / $19.85	Facility		$14.32	$14.32	$19.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $16.61 / $21.58	Professional		$14.32	$16.61	$21.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $75.00	Professional		$10.65	$10.65	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $17.07 / $25.46	Professional		$14.09	$17.07	$25.46