Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $59.06	Facility		$27.94	$27.94	$59.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $42.68 / $59.06	Professional		$21.67	$42.68	$59.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $19.26 / $19.26	Professional		$19.26	$19.26	$19.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $163.16 / $315.26	Facility		$82.07	$163.16	$315.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $35.56 / $42.34	Professional		$31.72	$35.56	$42.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $54.41 / $119.35	Professional		$25.65	$54.41	$119.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $49.51 / $59.06	Facility		$27.94	$49.51	$59.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $49.51 / $67.76	Professional		$24.59	$49.51	$67.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $33.15 / $47.38	Professional		$26.94	$33.15	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $56.77 / $81.03	Professional		$29.67	$56.77	$81.03