Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $61.15 / $272.60	Facility		$38.99	$61.15	$272.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $44.19 / $67.73	Professional		$28.04	$44.19	$67.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Professional		$67.36	$67.36	$67.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $47.03 / $84.20	Professional		$35.01	$47.03	$84.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $43.26 / $62.29	Facility		$34.61	$43.26	$62.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $55.37 / $86.89	Professional		$23.90	$55.37	$86.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $56.29 / $86.89	Professional		$23.90	$56.29	$86.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $68.87 / $101.99	Professional		$51.60	$68.87	$101.99
United Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $51.04 / $88.84	Professional		$37.14	$51.04	$88.84