Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $35.93 / $41.81	Facility		$26.85	$35.93	$41.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $33.11 / $43.93	Professional		$26.85	$33.11	$43.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $31.10 / $31.10	Professional		$31.10	$31.10	$31.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $40.83 / $218.62	Facility		$40.83	$40.83	$218.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $42.87 / $51.13	Professional		$38.79	$42.87	$51.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $41.65	Professional		$28.57	$28.57	$41.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $31.10 / $41.81	Facility		$29.22	$31.10	$41.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $32.75 / $47.42	Professional		$28.80	$32.75	$47.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $33.50 / $48.25	Professional		$26.94	$33.50	$48.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $33.20 / $48.65	Professional		$24.19	$33.20	$48.65