Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $25.26 / $25.26	Facility		$25.26	$25.26	$25.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $25.26 / $52.29	Professional		$15.93	$25.26	$52.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $41.00 / $41.00	Professional		$24.89	$41.00	$41.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $100.06 / $190.18	Facility		$48.14	$100.06	$190.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $34.51 / $43.13	Professional		$31.52	$34.51	$43.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $52.17	Professional		$13.54	$13.54	$52.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $22.61 / $25.26	Facility		$22.61	$22.61	$25.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $25.26 / $46.45	Professional		$19.16	$25.26	$46.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $22.40 / $35.06	Professional		$19.48	$22.40	$35.06
United Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.58 / $23.44	Professional		$11.03	$15.58	$23.44