Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $42.00 / $52.00	Facility		$29.56	$42.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $14.66 / $29.56	Professional		$10.78	$14.66	$29.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $23.75	Professional		$7.73	$7.73	$23.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.98 / $35.13	Professional		$16.82	$19.98	$35.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $11.81 / $47.27	Facility		$11.81	$11.81	$47.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $8.38	Professional		$8.38	$8.38	$8.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $40.00 / $60.00	Professional		$23.94	$40.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.00 / $17.39	Professional		$14.45	$15.00	$17.39
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.00 / $17.39	Professional		$14.45	$15.00	$17.39