Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $42.66 / $75.98	Facility		$25.47	$42.66	$75.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $27.55 / $105.87	Professional		$23.61	$27.55	$105.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $25.87 / $34.88	Professional		$20.92	$25.87	$34.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $26.62 / $48.54	Professional		$21.76	$26.62	$48.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $29.25 / $29.25	Professional		$29.25	$29.25	$29.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $25.88 / $33.75	Facility		$22.50	$25.88	$33.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $29.25 / $51.99	Professional		$23.31	$29.25	$51.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $38.22 / $38.22	Facility		$38.22	$38.22	$38.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $33.07 / $51.75	Professional		$23.62	$33.07	$51.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $32.85 / $50.67	Professional		$23.46	$32.85	$50.67
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 $21.56 / $30.41 / $50.62	Professional		$21.56	$30.41	$50.62