Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $33.03 / $149.00	Professional		$19.02	$33.03	$149.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.77 / $10.17 / $16.85	Professional	52	$8.77	$10.17	$16.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $19.14 / $24.72	Professional		$14.84	$19.14	$24.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $27.19 / $50.06	Professional		$19.88	$27.19	$50.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $20.74 / $35.27	Professional		$16.27	$20.74	$35.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $77.69 / $120.32	Professional		$59.05	$77.69	$120.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $56.16 / $91.47	Professional		$20.70	$56.16	$91.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $33.75 / $49.47	Professional		$25.04	$33.75	$49.47
United Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $30.80 / $56.24	Professional		$19.53	$30.80	$56.24