Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $38.43 / $57.40	Facility		$29.56	$38.43	$57.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.59 / $34.72	Professional		$29.29	$29.59	$34.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $34.44 / $53.69	Professional		$34.44	$34.44	$53.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $60.09 / $121.72	Facility		$31.17	$60.09	$121.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $31.03 / $40.28	Professional		$28.35	$31.03	$40.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $34.54	Professional		$29.29	$29.29	$34.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $38.86 / $82.25	Facility		$29.29	$38.86	$82.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.56 / $38.07	Professional		$29.29	$29.56	$38.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $31.81 / $43.38	Professional		$28.70	$31.81	$43.38
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $32.61 / $36.33	Professional		$29.29	$32.61	$36.33