Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $85.11	Professional		$42.66	$50.12	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $74.13	Professional		$48.98	$56.23	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $123.03	Professional		$56.23	$67.61	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $51.29 / $51.29	Facility		$48.98	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Professional		$47.86	$47.86	$60.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
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 $45.71 / $53.70 / $91.20	Professional		$45.71	$53.70	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $97.72	Professional		$40.74	$56.23	$97.72