Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $33.18 / $42.40	Professional		$25.89	$33.18	$42.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.95 / $15.73 / $21.20	Professional	52	$12.95	$15.73	$21.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $48.38 / $59.89	Professional		$41.00	$48.38	$59.89
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $11.23 / $11.23 / $11.23	Professional	52	$11.23	$11.23	$11.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $38.86 / $43.18	Professional		$29.36	$38.86	$43.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $35.65	Professional		$34.04	$34.04	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $38.49 / $56.28	Professional		$24.69	$38.49	$56.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $55.64 / $68.87	Professional		$47.15	$55.64	$68.87
Qualchoice Facility/Professional Professional Modifier 52 Low / Median / High Price $12.91 / $12.91 / $12.91	Professional	52	$12.91	$12.91	$12.91
United Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $27.94 / $49.73	Professional		$20.47	$27.94	$49.73