Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.98 / $20.89	Professional		$7.94	$16.98	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $26.92	Professional		$9.12	$12.59	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $33.88	Facility		$17.78	$17.78	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.48	Professional		$33.88	$33.88	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.05 / $25.12	Professional		$12.30	$19.05	$25.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $36.31	Professional		$18.62	$22.39	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.77 / $14.79	Professional		$6.61	$9.77	$14.79