Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $19.05	Facility		$12.88	$12.88	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.05	Professional		$10.00	$12.88	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $19.95 / $29.51	Facility		$18.62	$19.95	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $28.18	Professional		$14.13	$17.78	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $18.20	Professional		$16.98	$16.98	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $31.62	Professional		$19.05	$23.99	$31.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $50.12	Professional		$21.38	$27.54	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $19.50	Facility		$15.14	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $20.89 / $34.67	Professional		$6.92	$20.89	$34.67