Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $125.55 / $284.31	Facility		$19.47	$125.55	$284.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.40 / $34.08	Professional		$12.89	$15.40	$34.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $28.26	Professional		$16.80	$16.80	$28.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $23.40 / $91.78	Facility		$18.73	$23.40	$91.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $24.57 / $29.25	Professional		$21.28	$24.57	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $22.38	Professional		$13.99	$13.99	$22.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $169.90 / $284.31	Facility		$18.60	$169.90	$284.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $15.95 / $23.50	Professional		$14.88	$15.95	$23.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $10.01 / $75.00	Professional		$10.01	$10.01	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $17.12 / $23.56	Professional		$13.45	$17.12	$23.56