Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $206.58	Facility		$21.25	$21.25	$206.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $19.55 / $26.46	Professional		$17.13	$19.55	$26.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $19.93 / $36.69	Professional		$16.62	$19.93	$36.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $69.65 / $134.58	Facility		$33.19	$69.65	$134.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $25.15 / $29.94	Professional		$22.75	$25.15	$29.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $23.46 / $72.89	Professional		$17.54	$23.46	$72.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $148.83	Facility		$18.96	$18.96	$148.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $20.22 / $25.90	Professional		$18.28	$20.22	$25.90
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 $17.45 / $21.90 / $30.55	Professional		$17.45	$21.90	$30.55