Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $83.18	Professional		$19.50	$34.67	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $45.71	Professional		$17.38	$28.18	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $70.79	Professional		$30.90	$41.69	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $40.74	Professional		$17.78	$20.42	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $64.57	Professional		$20.42	$30.90	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $57.54	Professional		$18.62	$30.90	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $33.11	Professional		$21.88	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $60.26	Professional		$24.55	$35.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $51.29	Professional		$20.89	$30.90	$51.29