Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $33.88	Professional		$18.20	$25.70	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $42.66	Professional		$28.84	$28.84	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $97.72 / $190.55	Facility		$38.02	$97.72	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $33.88	Professional		$32.36	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $87.10 / $102.33	Facility		$33.88	$87.10	$102.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $45.71	Professional		$26.30	$34.67	$45.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.88 / $42.66	Facility		$26.30	$33.88	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $35.48 / $48.98	Professional		$17.38	$35.48	$48.98