Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $17.21 / $26.47	Professional		$13.27	$17.21	$26.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $25.10 / $39.57	Professional		$17.80	$25.10	$39.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.82 / $32.22	Professional		$12.30	$16.82	$32.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $23.93 / $30.90	Facility		$20.81	$23.93	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $25.53 / $33.19	Professional		$25.53	$25.53	$33.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $35.97	Facility		$35.97	$35.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $52.33 / $101.25	Professional		$20.56	$52.33	$101.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $28.42 / $60.00	Professional		$18.07	$28.42	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $12.50 / $18.43	Professional		$10.62	$12.50	$18.43
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $24.03 / $34.52	Professional		$18.48	$24.03	$34.52