Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $19.05	Professional		$10.96	$15.85	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $30.20	Professional		$12.88	$19.05	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $18.20	Professional		$14.79	$14.79	$18.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $33.11	Professional		$14.45	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $26.92	Professional		$14.45	$17.38	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $29.51	Professional		$13.49	$18.62	$29.51