Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $9.57 / $23.28	Facility		$9.57	$9.57	$23.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $16.57 / $23.28	Professional		$7.53	$16.57	$23.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $70.36 / $135.94	Facility		$35.39	$70.36	$135.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $12.55 / $14.94	Professional		$11.17	$12.55	$14.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $20.85 / $43.60	Professional		$9.00	$20.85	$43.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $19.23 / $23.28	Facility		$9.57	$19.23	$23.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $19.29 / $27.37	Professional		$8.41	$19.29	$27.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $22.95 / $34.39	Professional		$18.73	$22.95	$34.39