Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.02 / $102.33	Facility		$17.78	$38.02	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $63.10	Professional		$22.91	$32.36	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $43.65	Professional		$23.99	$33.11	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $64.57	Professional		$30.20	$38.90	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $79.43	Facility		$44.67	$60.26	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $81.28	Professional		$50.12	$79.43	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $42.66	Professional		$26.30	$31.62	$42.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $37.15	Professional		$16.98	$28.18	$37.15