Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $56.60 / $56.60	Facility		$36.22	$56.60	$56.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $42.51 / $56.60	Professional		$29.00	$42.51	$56.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $50.72	Professional		$50.72	$50.72	$50.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.14 / $104.56 / $203.01	Facility		$50.14	$104.56	$203.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $35.74 / $44.68	Professional		$32.17	$35.74	$44.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $53.60 / $93.70	Professional		$33.14	$53.60	$93.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $48.92 / $56.60	Facility		$36.22	$48.92	$56.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $48.92 / $56.76	Professional		$30.17	$48.92	$56.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $67.25 / $94.57	Professional		$53.66	$67.25	$94.57
United Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $57.56 / $70.20	Professional		$44.78	$57.56	$70.20