Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $26.42 / $52.46	Professional		$19.69	$26.42	$52.46
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.78 / $13.21 / $17.16	Professional	52	$9.78	$13.21	$17.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $37.60	Professional		$24.98	$24.98	$37.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $17.21 / $34.86	Professional		$13.12	$17.21	$34.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Professional		$26.86	$26.86	$26.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $29.55 / $37.60	Professional		$25.83	$29.55	$37.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $27.26 / $48.57	Professional		$18.85	$27.26	$48.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $28.20 / $45.76	Professional		$18.85	$28.20	$45.76
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 $13.64 / $20.55 / $38.97	Professional		$13.64	$20.55	$38.97