Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $41.65 / $54.29	Professional		$29.72	$41.65	$54.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.86 / $20.75 / $24.12	Professional	52	$14.86	$20.75	$24.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $64.22 / $67.81	Professional		$53.31	$64.22	$67.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $75.81 / $97.48	Professional		$68.59	$75.81	$97.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $53.50 / $56.03	Professional		$41.15	$53.50	$56.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $35.75 / $76.29	Professional		$29.11	$35.75	$76.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $43.68 / $55.54	Professional		$34.10	$43.68	$55.54
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $17.03 / $24.12 / $24.12	Professional	52	$17.03	$24.12	$24.12
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 $29.21 / $37.24 / $51.91	Professional		$29.21	$37.24	$51.91