Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $41.69	Professional		$18.20	$33.88	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $58.88	Professional		$19.95	$26.92	$58.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $52.48	Facility		$36.31	$36.31	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $54.95	Professional		$52.48	$52.48	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $58.88	Professional		$28.84	$44.67	$58.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $81.28	Professional		$33.11	$48.98	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $28.84	Professional		$13.49	$20.42	$28.84