Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $50.12	Professional		$20.89	$44.67	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $70.79	Professional		$24.55	$32.36	$70.79
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $74.13	Facility		$45.71	$45.71	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Professional		$74.13	$74.13	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $64.57	Professional		$30.90	$48.98	$64.57
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $97.72	Professional		$39.81	$58.88	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $33.88	Professional		$16.98	$25.70	$33.88