Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.11 / $33.11	Facility		$30.20	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $40.74	Professional		$23.99	$31.62	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $63.10	Professional		$33.11	$33.11	$63.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	25	$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $54.95	Professional		$26.92	$35.48	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $43.65	Professional		$30.90	$30.90	$43.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $33.11	Professional		$28.84	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $56.23	Professional		$28.84	$36.31	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $58.88	Professional		$25.70	$37.15	$58.88