Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.80 / $19.50	Facility		$10.96	$13.80	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $204.17	Professional		$10.96	$15.14	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $33.88	Professional		$14.79	$20.42	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $36.31	Professional		$11.75	$17.78	$36.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.88 / $33.88	Professional		$11.75	$21.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.98 / $25.70	Professional		$11.22	$16.98	$25.70