Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $8.66 / $8.66	Facility		$8.66	$8.66	$8.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.66 / $13.64	Professional		$6.59	$8.66	$13.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $9.10 / $9.10	Professional		$9.10	$9.10	$9.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $34.29 / $65.17	Facility		$16.50	$34.29	$65.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $11.82 / $14.78	Professional		$10.80	$11.82	$14.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $21.46	Professional		$4.63	$4.63	$21.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $7.75 / $8.66	Facility		$7.75	$7.75	$8.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.75 / $13.64	Professional		$7.22	$7.75	$13.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $7.68 / $12.02	Professional		$6.68	$7.68	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.35 / $8.02	Professional		$4.01	$5.35	$8.02