Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $37.86 / $174.06	Facility		$20.96	$37.86	$174.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $29.12	Professional		$20.35	$20.55	$29.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $52.49	Professional		$25.60	$25.60	$52.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $44.38 / $84.56	Facility		$23.64	$44.38	$84.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.87 / $5.01	Professional		$3.53	$3.87	$5.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $33.10	Professional		$20.35	$20.35	$33.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $56.54 / $174.06	Facility		$20.35	$56.54	$174.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.96 / $29.99	Professional		$20.35	$20.96	$29.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $28.27 / $38.16	Professional		$20.35	$28.27	$38.16
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $22.65 / $26.05	Professional		$20.35	$22.65	$26.05