Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.70 / $28.18	Facility		$19.05	$25.70	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $25.70	Professional		$14.13	$19.95	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.51 / $20.42	Professional		$6.03	$8.51	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.99 / $23.99	Facility		$16.22	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $32.36	Professional		$12.02	$16.22	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $28.84	Professional		$11.75	$16.60	$28.84