Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $4.00 / $75.00	Professional		$0.02	$4.00	$75.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $37.40 / $44.20	Professional		$16.45	$37.40	$44.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.23 / $197.90 / $399.99	Facility		$97.23	$197.90	$399.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $68.20 / $88.67	Professional		$56.27	$68.20	$88.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.62 / $7.62	Professional		$7.62	$7.62	$7.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $50.23 / $50.23	Facility		$50.23	$50.23	$50.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $50.23 / $65.86	Professional		$50.23	$50.23	$65.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00