Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $42.05	Facility		$41.64	$41.64	$42.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $39.71 / $43.25	Professional		$31.87	$39.71	$43.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $41.22 / $73.81	Professional		$41.22	$41.22	$73.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $60.76 / $111.17	Facility		$30.64	$60.76	$111.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $63.80 / $75.95	Professional		$57.72	$63.80	$75.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $41.64	Facility		$37.90	$37.90	$41.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $41.22 / $64.77	Professional		$37.90	$41.22	$64.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $34.36 / $50.08	Professional		$27.87	$34.36	$50.08
United Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $43.67 / $65.47	Professional		$36.58	$43.67	$65.47