Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $26.75 / $26.75	Facility		$21.06	$26.75	$26.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $29.34 / $38.81	Professional		$22.17	$29.34	$38.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $29.48 / $29.48	Professional		$28.88	$29.48	$29.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $32.47 / $47.64	Professional		$23.90	$32.47	$47.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $30.02 / $40.53	Facility		$22.52	$30.02	$40.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $36.31 / $47.93	Professional		$26.47	$36.31	$47.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $38.50 / $67.06	Professional		$28.65	$38.50	$67.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $39.44 / $61.29	Professional		$30.48	$39.44	$61.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $39.84 / $50.00	Professional		$22.71	$39.84	$50.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $35.00 / $56.79	Professional		$27.48	$35.00	$56.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $37.72 / $62.99	Professional		$26.58	$37.72	$62.99