Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $33.54 / $78.94	Facility		$19.32	$33.54	$78.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $28.51 / $119.00	Professional		$19.32	$28.51	$119.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $21.34 / $23.90	Professional		$17.07	$21.34	$23.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $26.90 / $47.84	Professional		$21.04	$26.90	$47.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $19.63 / $25.61	Facility		$17.07	$19.63	$25.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $22.19 / $39.29	Professional		$17.80	$22.19	$39.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $30.50 / $51.01	Professional		$19.11	$30.50	$51.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $28.96 / $49.79	Professional		$19.12	$28.96	$49.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.74 / $17.89 / $19.69	Professional		$16.74	$17.89	$19.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $30.88 / $53.26	Professional		$20.84	$30.88	$53.26