Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $17.75 / $17.75	Facility		$17.75	$17.75	$17.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.75 / $34.14	Professional		$12.88	$17.75	$34.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $70.31 / $133.66	Facility		$33.84	$70.31	$133.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $24.25 / $30.32	Professional		$22.15	$24.25	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $42.08	Professional		$9.51	$9.51	$42.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $15.89 / $17.75	Facility		$15.89	$15.89	$17.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $17.75 / $31.71	Professional		$13.46	$17.75	$31.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $15.74 / $24.64	Professional		$13.69	$15.74	$24.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.95 / $16.47	Professional		$7.75	$10.95	$16.47