Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $13.88 / $13.88	Facility		$13.88	$13.88	$13.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $21.36 / $46.00	Professional		$11.97	$21.36	$46.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $19.89 / $19.89	Professional		$19.89	$19.89	$19.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $54.97 / $104.49	Facility		$26.45	$54.97	$104.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.96 / $23.70	Professional		$17.32	$18.96	$23.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $34.50	Professional		$7.44	$7.44	$34.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $13.88	Facility		$12.43	$12.43	$13.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $14.57 / $32.59	Professional		$12.43	$14.57	$32.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $12.31 / $19.27	Professional		$10.71	$12.31	$19.27
United Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $8.56 / $13.16	Professional		$6.45	$8.56	$13.16