Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $34.61 / $47.20	Professional		$24.99	$34.61	$47.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.50 / $16.59 / $19.67	Professional	52	$12.50	$16.59	$19.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $38.51 / $44.09	Professional		$38.51	$38.51	$44.09
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.63 / $9.63 / $9.63	Professional	52	$9.63	$9.63	$9.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $62.75 / $80.68	Professional		$56.77	$62.75	$80.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $44.27 / $46.35	Professional		$34.04	$44.27	$46.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $29.56 / $62.94	Professional		$21.26	$29.56	$62.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $37.13 / $50.64	Professional		$26.89	$37.13	$50.64
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $13.45 / $19.67 / $19.67	Professional	52	$13.45	$19.67	$19.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.77 / $48.25	Professional		$27.05	$33.77	$48.25
United Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $31.49 / $44.40	Professional		$22.24	$31.49	$44.40