Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $79.43 / $114.82	Facility		$70.79	$79.43	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $93.33	Professional		$70.79	$85.11	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $69.18	Professional		$40.74	$61.66	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $87.10	Professional		$19.95	$26.92	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $53.70	Professional		$15.49	$16.98	$53.70
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 $53.70 / $77.62 / $147.91	Professional		$53.70	$77.62	$147.91