Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.88 / $213.80	Facility		$27.54	$33.88	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $38.90	Professional		$26.92	$30.20	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $61.66	Professional		$28.84	$36.31	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $28.18	Facility		$24.55	$24.55	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $44.67	Facility		$38.02	$43.65	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $60.26	Professional		$31.62	$40.74	$60.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $60.26	Professional		$33.11	$40.74	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $70.79	Professional		$31.62	$37.15	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $64.57	Professional		$29.51	$39.81	$64.57