Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $48.09 / $82.98	Facility		$29.59	$48.09	$82.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $41.74 / $56.60	Professional		$28.68	$41.74	$56.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $33.93 / $33.93	Professional		$33.93	$33.93	$33.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $40.74 / $65.92	Professional		$24.70	$40.74	$65.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $32.65 / $42.71	Facility		$28.14	$32.65	$42.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.38 / $52.76 / $66.67	Professional		$52.38	$52.76	$66.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $47.12 / $81.14	Professional		$29.79	$47.12	$81.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $47.12 / $79.25	Professional		$29.79	$47.12	$79.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $68.87 / $101.83	Professional		$51.19	$68.87	$101.83
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $57.24 / $87.47	Professional		$41.86	$57.24	$87.47