Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $36.42 / $49.93	Professional		$28.05	$36.42	$49.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $26.64 / $26.64	Professional		$26.64	$26.64	$26.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $34.36 / $55.20	Professional		$24.05	$34.36	$55.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $43.40 / $52.60	Professional		$41.33	$43.40	$52.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $39.85 / $68.83	Professional		$29.82	$39.85	$68.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $39.85 / $65.48	Professional		$29.82	$39.85	$65.48
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 $34.99 / $46.85 / $72.06	Professional		$34.99	$46.85	$72.06