Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $22.44 / $52.50	Professional		$15.69	$22.44	$52.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $17.97 / $22.59	Professional		$16.71	$17.97	$22.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $20.00 / $41.21	Professional		$13.50	$20.00	$41.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $32.50	Professional		$25.00	$25.00	$32.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $20.86 / $25.81	Facility		$17.34	$20.86	$25.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $19.23 / $24.26	Professional		$17.70	$19.23	$24.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $22.59 / $53.01	Professional		$15.05	$22.59	$53.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $25.16 / $52.00	Professional		$16.64	$25.16	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $32.55 / $43.08	Professional		$21.70	$32.55	$43.08
United Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.57 / $45.56	Professional		$14.40	$20.57	$45.56