Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $93.64 / $183.15	Professional		$66.61	$93.64	$183.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.26 / $37.76 / $48.15	Professional	52	$30.26	$37.76	$48.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $71.20 / $161.25	Professional		$67.03	$71.20	$161.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $114.51 / $142.00	Professional		$99.14	$114.51	$142.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $79.97 / $87.14	Professional		$66.64	$79.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $119.85 / $314.97	Professional		$72.89	$119.85	$314.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $90.88 / $170.61	Professional		$69.75	$90.88	$170.61
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $33.31 / $45.44 / $64.76	Professional	52	$33.31	$45.44	$64.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $67.86 / $95.36	Professional		$54.60	$67.86	$95.36
United Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $91.32 / $145.63	Professional		$68.56	$91.32	$145.63