Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $40.98 / $56.53	Professional		$29.28	$40.98	$56.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.64 / $19.95 / $23.56	Professional	52	$14.64	$19.95	$23.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $45.21 / $51.84	Professional		$45.21	$45.21	$51.84
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $11.30 / $11.30 / $11.30	Professional	52	$11.30	$11.30	$11.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $73.73 / $94.80	Professional		$66.70	$73.73	$94.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $52.01 / $54.48	Professional		$40.01	$52.01	$54.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $34.79 / $75.02	Professional		$27.67	$34.79	$75.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $45.34 / $59.08	Professional		$32.97	$45.34	$59.08
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $15.94 / $23.56 / $23.56	Professional	52	$15.94	$23.56	$23.56
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 $25.38 / $36.69 / $52.11	Professional		$25.38	$36.69	$52.11