Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $37.13 / $51.67	Professional		$30.06	$37.13	$51.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.58 / $17.69 / $23.56	Professional	52	$14.58	$17.69	$23.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.57 / $61.24	Professional		$30.23	$35.57	$61.24
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.89 / $8.89 / $12.00	Professional	52	$8.89	$8.89	$12.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $47.31 / $47.31	Facility		$47.31	$47.31	$47.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $49.68 / $63.87	Professional		$44.94	$49.68	$63.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $35.47 / $38.74	Facility		$29.56	$35.47	$38.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $43.33 / $44.11	Professional		$33.33	$43.33	$44.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $32.11 / $69.45	Professional		$25.31	$32.11	$69.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $38.38 / $52.92	Professional		$32.84	$38.38	$52.92
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $15.03 / $18.57 / $21.53	Professional	52	$15.03	$18.57	$21.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $34.44 / $49.63	Professional		$27.79	$34.44	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $42.83 / $62.46	Professional		$34.71	$42.83	$62.46