Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $100.00	Professional		$26.92	$57.54	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $120.23	Professional		$35.48	$61.66	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $38.90	Facility		$30.20	$30.20	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $64.57 / $120.23	Professional		$28.18	$64.57	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $64.57 / $125.89	Professional		$28.18	$64.57	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $33.11	Professional		$14.79	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $67.61 / $123.03	Professional		$26.92	$67.61	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $54.95 / $93.33	Professional		$26.30	$54.95	$93.33