Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $47.86 / $51.29	Facility		$36.31	$47.86	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $50.12	Professional		$20.89	$34.67	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $74.13	Professional		$28.18	$33.88	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $37.15 / $58.88	Facility		$24.55	$37.15	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $67.61	Professional		$32.36	$44.67	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $67.61	Facility		$42.66	$42.66	$67.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $27.54	Professional		$23.44	$23.44	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $66.07	Professional		$33.11	$46.77	$66.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $120.23	Professional		$57.54	$64.57	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.44 / $36.31	Facility		$19.05	$23.44	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $37.15	Professional		$16.60	$26.92	$37.15