Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $27.78	Facility		$27.78	$27.78	$27.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $42.74 / $87.96	Professional		$24.65	$42.74	$87.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $27.35 / $27.35	Professional		$22.97	$27.35	$27.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $109.98 / $209.04	Facility		$52.92	$109.98	$209.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $37.93 / $47.41	Professional		$34.65	$37.93	$47.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $69.04	Professional		$14.88	$14.88	$69.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $34.29 / $34.29	Facility		$27.78	$34.29	$34.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $34.29 / $81.00	Professional		$27.78	$34.29	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $24.63 / $38.55	Professional		$21.42	$24.63	$38.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $17.13 / $30.33	Professional		$12.89	$17.13	$30.33