Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Facility		$28.69	$28.69	$28.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $24.34 / $30.26	Professional		$21.57	$24.34	$30.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $22.43 / $24.52	Professional		$21.15	$22.43	$24.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $29.18 / $52.08	Facility		$14.63	$29.18	$52.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $37.65 / $44.83	Professional		$33.21	$37.65	$44.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $32.40 / $84.84	Professional		$23.58	$32.40	$84.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $28.69	Facility		$23.15	$23.15	$28.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $25.46 / $34.03	Professional		$23.03	$25.46	$34.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.73 / $49.49	Professional		$27.68	$33.73	$49.49
United Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $23.29 / $25.62	Facility		$18.63	$23.29	$25.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $28.47 / $41.66	Professional		$22.70	$28.47	$41.66