Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.05 / $25.70	Professional		$9.55	$19.05	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $30.90	Professional		$10.23	$14.45	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $39.81	Facility		$20.42	$20.42	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Professional		$39.81	$39.81	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $17.38	Professional		$10.96	$10.96	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $26.30	Professional		$12.88	$19.95	$26.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $40.74	Professional		$16.60	$25.12	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $15.85	Professional		$7.59	$11.48	$15.85