Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $67.78 / $131.59	Facility		$38.65	$67.78	$131.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $64.40 / $276.75	Professional		$36.97	$64.40	$276.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $43.24 / $50.73	Professional		$31.45	$43.24	$50.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $76.37 / $122.80	Professional		$50.73	$76.37	$122.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $38.89 / $50.73	Facility		$33.82	$38.89	$50.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $43.97 / $78.26	Professional		$34.86	$43.97	$78.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $41.54	Facility		$41.54	$41.54	$41.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $59.89 / $115.56	Professional		$35.51	$59.89	$115.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $53.79 / $110.31	Professional		$34.61	$53.79	$110.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $38.81 / $53.37	Professional		$28.86	$38.81	$53.37
United Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $58.57 / $96.66	Professional		$33.44	$58.57	$96.66