Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $22.90 / $22.90	Facility		$22.90	$22.90	$22.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $22.90 / $26.15	Professional		$13.03	$22.90	$26.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $20.60 / $20.60	Professional		$20.60	$20.60	$20.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.63 / $63.47 / $112.87	Facility		$44.63	$63.47	$112.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $41.83 / $53.78	Professional		$37.85	$41.83	$53.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $29.76 / $29.76	Facility		$29.76	$29.76	$29.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $23.81 / $27.79	Professional		$23.27	$23.81	$27.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $21.86 / $22.90	Facility		$21.86	$21.86	$22.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $22.90 / $32.17	Professional		$21.86	$22.90	$32.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $33.05 / $46.52	Professional		$26.80	$33.05	$46.52
United Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $23.82 / $38.72	Professional		$15.47	$23.82	$38.72