Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $26.31 / $26.31	Facility		$26.31	$26.31	$26.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $26.31 / $26.31	Professional		$26.31	$26.31	$26.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $70.00 / $90.00	Professional		$19.13	$70.00	$90.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $11.82	Professional		$7.25	$7.25	$11.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $22.61 / $22.61	Facility		$22.61	$22.61	$22.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $112.21 / $112.21	Facility		$112.21	$112.21	$112.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $145.26 / $157.50	Professional		$145.26	$145.26	$157.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $112.21 / $112.21	Facility		$112.21	$112.21	$112.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $106.00 / $145.26	Professional		$94.00	$106.00	$145.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00