Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $39.89 / $50.80	Professional		$30.88	$39.89	$50.80
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.44 / $19.09 / $25.40	Professional	52	$15.44	$19.09	$25.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $52.80 / $70.40	Professional		$44.00	$52.80	$70.40
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $13.20 / $13.20 / $13.20	Professional	52	$13.20	$13.20	$13.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $46.76 / $51.96	Professional		$35.33	$46.76	$51.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $40.01 / $41.91	Professional		$40.01	$40.01	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $45.69 / $67.70	Professional		$32.11	$45.69	$67.70
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $60.72 / $80.95	Professional		$50.60	$60.72	$80.95
Qualchoice Facility/Professional Professional Modifier 52 Low / Median / High Price $15.18 / $15.18 / $15.18	Professional	52	$15.18	$15.18	$15.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $33.60 / $65.65	Professional		$24.32	$33.60	$65.65