Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $32.46 / $32.46	Facility		$32.46	$32.46	$32.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $32.46 / $36.52	Professional		$20.73	$32.46	$36.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Professional		$31.92	$31.92	$31.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.87 / $128.59 / $244.40	Facility		$61.87	$128.59	$244.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $44.35 / $55.43	Professional		$40.51	$44.35	$55.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $65.22	Professional		$17.39	$17.39	$65.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $29.05 / $32.46	Facility		$29.05	$29.05	$32.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $29.05 / $51.16	Professional		$28.00	$29.05	$51.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $28.78 / $45.05	Professional		$25.03	$28.78	$45.05
United Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $20.38 / $35.45	Professional		$15.07	$20.38	$35.45