Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $36.77 / $115.42	Professional		$26.89	$36.77	$115.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.95 / $17.19 / $19.67	Professional	52	$12.95	$17.19	$19.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $42.48 / $54.87	Professional		$32.92	$42.48	$54.87
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $11.51 / $11.51 / $11.51	Professional	52	$11.51	$11.51	$11.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $20.29 / $45.94	Professional		$15.00	$20.29	$45.94
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $38.94 / $49.56	Professional		$34.04	$38.94	$49.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $36.68 / $64.72	Professional		$25.02	$36.68	$64.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $37.79 / $60.36	Professional		$25.02	$37.79	$60.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $36.46 / $52.62	Professional		$25.35	$36.46	$52.62
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $27.30 / $49.94	Professional		$15.38	$27.30	$49.94