Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $27.99 / $107.64	Facility		$21.53	$27.99	$107.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.73 / $27.12	Professional		$21.53	$21.73	$27.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $25.08 / $25.08	Professional		$25.08	$25.08	$25.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $46.07 / $87.78	Facility		$24.54	$46.07	$87.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $14.75 / $19.14	Professional		$13.47	$14.75	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $27.91	Professional		$21.52	$21.52	$27.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $41.98 / $107.64	Facility		$21.53	$41.98	$107.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.73 / $28.41	Professional		$21.53	$21.73	$28.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $22.99 / $32.29	Professional		$20.90	$22.99	$32.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $26.05 / $82.89	Professional		$21.53	$26.05	$82.89