Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $57.44 / $97.79	Professional		$27.01	$57.44	$97.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Professional		$76.68	$76.68	$76.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $55.71 / $108.09	Professional		$35.65	$55.71	$108.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $38.78 / $44.30	Facility		$30.43	$38.78	$44.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $84.35 / $107.35	Professional		$32.96	$84.35	$107.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $67.06 / $132.52	Professional		$28.06	$67.06	$132.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $67.06 / $132.52	Professional		$28.06	$67.06	$132.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $110.39 / $155.52	Professional		$77.58	$110.39	$155.52
United Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $71.48 / $126.57	Professional		$54.99	$71.48	$126.57