Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $104.71	Professional		$36.31	$67.61	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $89.13	Professional		$33.88	$46.77	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $45.71	Facility		$30.20	$30.20	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.95	Professional		$39.81	$39.81	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $67.61	Facility		$44.67	$60.26	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $64.57	Professional		$44.67	$60.26	$64.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $63.10	Facility		$44.67	$60.26	$63.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $64.57	Professional		$38.02	$54.95	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $50.12	Professional		$30.20	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $63.10	Professional		$42.66	$60.26	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $54.95	Professional		$38.02	$44.67	$54.95