Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $68.75 / $79.00	Professional		$31.07	$68.75	$79.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $76.75 / $76.75	Professional		$76.75	$76.75	$76.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $90.29 / $90.29	Facility		$90.29	$90.29	$90.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $94.80 / $121.89	Professional		$85.78	$94.80	$121.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $130.78	Professional		$36.11	$36.11	$130.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $70.76 / $84.49	Professional		$49.42	$70.76	$84.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $36.68 / $57.42	Professional		$31.90	$36.68	$57.42
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $40.71 / $54.28	Professional		$29.40	$40.71	$54.28