Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $18.55 / $18.55	Facility		$10.73	$18.55	$18.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $11.68 / $20.16	Professional		$7.91	$11.68	$20.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.64 / $18.64 / $18.64	Professional	25	$18.64	$18.64	$18.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $20.01 / $20.01	Professional		$17.01	$20.01	$20.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $30.87 / $159.43	Facility		$27.99	$30.87	$159.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $32.19 / $38.59	Professional		$26.46	$32.19	$38.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $14.00 / $73.63	Professional		$8.61	$14.00	$73.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $8.49 / $20.01	Facility		$8.49	$8.49	$20.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $10.73 / $24.01	Professional		$8.49	$10.73	$24.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $33.44 / $48.25	Professional		$26.80	$33.44	$48.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $10.17 / $20.64	Professional		$8.69	$10.17	$20.64