Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $32.29 / $43.45	Professional		$27.78	$32.29	$43.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $38.09 / $48.18	Professional		$33.61	$38.09	$48.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $30.54 / $60.94	Professional		$23.97	$30.54	$60.94
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $49.31 / $63.68	Facility		$42.88	$49.31	$63.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $48.18 / $62.63	Professional		$48.18	$48.18	$62.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $74.22 / $74.22	Facility		$74.22	$74.22	$74.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $69.31 / $105.64	Professional		$38.54	$69.31	$105.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $51.33 / $97.60	Professional		$37.57	$51.33	$97.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $74.20 / $103.54	Professional		$52.54	$74.20	$103.54
United Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $44.36 / $65.09	Professional		$34.88	$44.36	$65.09