Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $302.00	Professional		$33.88	$58.88	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $56.23	Professional		$26.30	$33.11	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $109.65	Professional		$44.67	$69.18	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $97.72	Professional		$33.88	$61.66	$97.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $100.00	Professional		$35.48	$74.13	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $81.28	Professional		$37.15	$47.86	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $87.10	Professional		$38.02	$58.88	$87.10