Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $74.13	Professional		$15.85	$26.92	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $21.88	Professional		$15.85	$18.20	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $46.77	Professional		$13.49	$21.88	$46.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $50.12	Professional		$25.12	$45.71	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $17.78 / $23.44	Facility		$13.80	$17.78	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $24.55	Professional		$17.78	$19.05	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.49	Facility		$15.14	$15.14	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $45.71	Professional		$14.79	$21.88	$45.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $51.29	Professional		$16.60	$23.44	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $42.66	Professional		$19.95	$32.36	$42.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $36.31	Professional		$16.98	$22.91	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $38.90	Professional		$13.49	$18.20	$38.90