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 $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Professional		$26.71	$26.71	$26.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Facility		$33.00	$33.00	$33.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional		$17.00	$25.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $31.12 / $61.25	Professional		$20.74	$31.12	$61.25