Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $71.17 / $264.00	Professional		$53.06	$71.17	$264.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $47.64 / $49.31	Professional		$39.29	$47.64	$49.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $94.58 / $152.19	Professional		$61.04	$94.58	$152.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $46.96 / $46.96	Professional		$46.96	$46.96	$46.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $61.05 / $104.64	Professional		$46.96	$61.05	$104.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $72.42 / $125.37	Professional		$50.78	$72.42	$125.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $73.54 / $113.49	Professional		$51.65	$73.54	$113.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $35.51 / $50.16	Professional		$26.52	$35.51	$50.16
United Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $64.38 / $105.34	Professional		$46.96	$64.38	$105.34