Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $29.59 / $58.00	Facility		$26.90	$29.59	$58.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $31.85 / $115.00	Professional		$25.09	$31.85	$115.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $29.70 / $36.83	Professional		$22.10	$29.70	$36.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $27.34 / $48.79	Professional		$21.31	$27.34	$48.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $28.51 / $35.64	Facility		$23.76	$28.51	$35.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $30.89 / $54.88	Professional		$24.64	$30.89	$54.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Facility		$29.00	$29.00	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $34.81 / $57.07	Professional		$24.95	$34.81	$57.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $34.50 / $56.23	Professional		$24.95	$34.50	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $36.60 / $53.37	Professional		$27.49	$36.60	$53.37
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $33.28 / $55.40	Professional		$22.85	$33.28	$55.40