Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.95 / $27.55	Professional		$13.80	$13.95	$27.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $13.59 / $13.59	Professional		$10.68	$13.59	$13.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.29 / $54.64 / $103.86	Facility		$26.29	$54.64	$103.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $18.84 / $23.56	Professional		$17.21	$18.84	$23.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $34.29	Professional		$7.39	$7.39	$34.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $12.36 / $13.80	Facility		$12.36	$12.36	$13.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $13.94 / $26.53	Professional		$12.36	$13.94	$26.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $12.24 / $19.17	Professional		$10.65	$12.24	$19.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $12.81	Professional		$6.17	$8.51	$12.81