Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $30.20	Professional		$18.20	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $58.88	Professional		$30.20	$32.36	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $45.71	Professional		$21.38	$28.84	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $38.02	Professional		$28.84	$28.84	$38.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $52.48	Professional		$26.30	$33.11	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $50.12	Professional		$20.42	$28.18	$50.12