Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $368.09 / $962.21	Facility		$15.92	$368.09	$962.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $15.17 / $22.09	Professional		$14.88	$15.17	$22.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $12.78 / $12.78	Professional		$12.78	$12.78	$12.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.34 / $39.72	Facility		$16.22	$22.34	$39.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $15.00 / $18.00	Professional		$14.25	$15.00	$18.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $16.82	Professional		$14.73	$14.73	$16.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $178.22 / $853.67	Facility		$15.16	$178.22	$853.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $19.88	Professional		$14.73	$14.73	$19.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $16.17 / $26.46	Professional		$14.70	$16.17	$26.46
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.88	Professional		$14.73	$14.73	$15.88