Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $48.89 / $64.50	Professional		$33.22	$48.89	$64.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.14 / $18.84 / $24.45	Professional	52	$15.14	$18.84	$24.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $53.85 / $64.11	Professional		$46.16	$53.85	$64.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $36.70 / $39.57	Professional		$30.58	$36.70	$39.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $125.47 / $181.00	Professional		$57.20	$125.47	$181.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $41.82 / $74.09	Professional		$33.22	$41.82	$74.09
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $17.75 / $22.55 / $32.13	Professional	52	$17.75	$22.55	$32.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $33.44 / $47.72	Professional		$26.52	$33.44	$47.72
United Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $47.38 / $92.44	Professional		$34.97	$47.38	$92.44