Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $24.75 / $43.40	Professional		$17.01	$24.75	$43.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.51 / $11.42 / $15.12	Professional	52	$8.51	$11.42	$15.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $24.97 / $32.47	Professional		$23.23	$24.97	$32.47
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $7.55 / $7.55 / $7.55	Professional	52	$7.55	$7.55	$7.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $26.06 / $50.11	Professional		$15.45	$26.06	$50.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $24.97 / $24.97	Professional		$24.97	$24.97	$24.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $23.49 / $28.01	Facility		$18.69	$23.49	$28.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $26.72 / $33.71	Professional		$24.46	$26.72	$33.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Facility		$32.38	$32.38	$32.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $26.22 / $49.91	Professional		$17.55	$26.22	$49.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $29.07 / $51.38	Professional		$17.57	$29.07	$51.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $12.88 / $15.37	Professional		$10.94	$12.88	$15.37
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $24.47 / $43.10	Professional		$18.86	$24.47	$43.10