Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $25.00 / $44.28	Facility		$14.70	$25.00	$44.28
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.35 / $12.50 / $22.14	Facility	52	$7.35	$12.50	$22.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $21.32 / $75.00	Professional		$13.76	$21.32	$75.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $15.27 / $19.92	Professional		$12.35	$15.27	$19.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $18.32 / $30.68	Professional		$13.55	$18.32	$30.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $15.27 / $19.92	Facility		$13.28	$15.27	$19.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.26 / $30.61	Professional		$13.80	$17.26	$30.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $12.23 / $12.23 / $12.23	Facility	52	$12.23	$12.23	$12.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $19.26 / $30.54	Professional		$13.94	$19.26	$30.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $19.47 / $30.54	Professional		$13.94	$19.47	$30.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $12.69 / $13.95	Professional		$11.86	$12.69	$13.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $17.76 / $30.41	Professional		$12.58	$17.76	$30.41