Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $67.61	Professional		$33.88	$47.86	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $91.20	Professional		$61.66	$66.07	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $104.71	Professional		$40.74	$57.54	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $144.54	Professional		$51.29	$69.18	$144.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $169.82	Professional		$51.29	$70.79	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $97.72	Professional		$51.29	$67.61	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $125.89	Professional		$42.66	$58.88	$125.89