Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $12.60 / $16.51	Professional		$7.97	$12.60	$16.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $96.54 / $197.73	Facility		$36.00	$96.54	$197.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $37.79 / $45.00	Professional		$34.20	$37.79	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $20.58	Professional		$13.49	$14.02	$20.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $16.69 / $18.14	Facility		$12.60	$16.69	$18.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.69 / $23.59	Professional		$11.80	$16.69	$23.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $30.87 / $30.87	Professional		$20.58	$30.87	$30.87
United Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $10.39 / $18.87	Professional		$6.79	$10.39	$18.87