Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $68.19 / $102.28	Professional		$38.90	$68.19	$102.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $80.54 / $119.15 / $119.15	Professional	25	$80.54	$119.15	$119.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $76.79 / $77.63	Professional		$65.17	$76.79	$77.63
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $81.01 / $81.01 / $122.97	Professional	25	$81.01	$81.01	$122.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $51.11 / $65.72	Professional		$38.94	$51.11	$65.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $52.74 / $54.73	Facility		$41.90	$52.74	$54.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $80.63 / $99.55	Professional		$76.58	$80.63	$99.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $60.60 / $93.76	Professional		$37.29	$60.60	$93.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $74.31 / $103.55	Professional		$42.74	$74.31	$103.55
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $119.15 / $119.15 / $119.15	Professional	25	$119.15	$119.15	$119.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.24 / $141.24	Professional		$81.79	$102.24	$141.24
United Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $87.09 / $105.69	Professional		$70.83	$87.09	$105.69