Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $42.00 / $42.00	Professional		$32.04	$42.00	$42.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $53.42 / $53.42	Professional		$53.42	$53.42	$53.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.51 / $161.09 / $306.19	Facility		$77.51	$161.09	$306.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $55.56 / $69.45	Professional		$50.75	$55.56	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $39.75 / $78.58	Professional		$23.98	$39.75	$78.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $25.56 / $42.00	Facility		$25.56	$25.56	$42.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $29.26 / $64.09	Professional		$25.56	$29.26	$64.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $54.84 / $54.84	Professional		$36.56	$54.84	$54.84
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $31.12 / $51.86	Professional		$20.74	$31.12	$51.86