Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $831.76	Professional		$34.67	$46.77	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $51.29	Professional		$39.81	$39.81	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $64.57	Professional		$29.51	$40.74	$64.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $91.20	Professional		$38.90	$48.98	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $91.20	Professional		$33.88	$48.98	$91.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $83.18	Professional		$33.88	$48.98	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $33.11	Professional		$31.62	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $100.00	Professional		$45.71	$53.70	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $39.81 / $61.66	Professional		$27.54	$39.81	$61.66