Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $24.91 / $39.18	Professional		$20.53	$24.91	$39.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $34.54 / $57.58	Professional		$25.91	$34.54	$57.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $23.28 / $46.45	Professional		$17.79	$23.28	$46.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $29.72 / $41.72	Professional		$29.72	$29.72	$41.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $36.63 / $47.31	Facility		$31.85	$36.63	$47.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $48.30	Professional		$37.15	$37.15	$48.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $55.11 / $55.11	Facility		$55.11	$55.11	$55.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $61.74 / $104.57	Professional		$29.40	$61.74	$104.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $40.86 / $79.34	Professional		$27.08	$40.86	$79.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $40.30 / $54.06	Professional		$27.49	$40.30	$54.06
United Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $34.00 / $44.57	Professional		$26.22	$34.00	$44.57