Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $37.79 / $66.47	Facility		$22.19	$37.79	$66.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $29.48 / $97.91	Professional		$20.60	$29.48	$97.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $23.53 / $29.40	Professional		$18.23	$23.53	$29.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $26.62 / $45.31	Professional		$20.51	$26.62	$45.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $22.54 / $29.40	Facility		$19.60	$22.54	$29.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $25.48 / $45.10	Professional		$20.45	$25.48	$45.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $23.94 / $23.94	Facility		$23.94	$23.94	$23.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $28.93 / $45.11	Professional		$20.59	$28.93	$45.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $28.85 / $45.11	Professional		$20.59	$28.85	$45.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $20.97 / $23.06	Professional		$19.60	$20.97	$23.06
United Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $26.62 / $45.45	Professional		$18.87	$26.62	$45.45