Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $45.71	Professional		$20.89	$30.20	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $61.66	Professional		$39.81	$57.54	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $66.07	Professional		$27.54	$38.90	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $67.61	Professional		$42.66	$42.66	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $87.10	Professional		$30.90	$43.65	$87.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $100.00	Professional		$26.30	$43.65	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $67.61	Professional		$30.90	$46.77	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $79.43	Professional		$26.92	$37.15	$79.43