Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $51.29 / $120.23	Professional		$15.14	$51.29	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $25.70	Professional		$15.14	$20.89	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $38.90	Professional		$18.62	$25.12	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.70 / $41.69	Professional		$13.80	$25.70	$41.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $31.62 / $44.67	Professional		$13.49	$31.62	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $51.29	Professional		$23.44	$30.20	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.44 / $34.67	Professional		$13.80	$23.44	$34.67