Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $53.70 / $53.70	Facility		$36.31	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $81.28	Professional		$32.36	$47.86	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $85.11	Professional		$38.02	$51.29	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $95.50	Professional		$37.15	$58.88	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.90 / $48.98	Facility		$26.92	$30.90	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
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 $33.11 / $57.54 / $91.20	Professional		$33.11	$57.54	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $100.00	Professional		$34.67	$58.88	$100.00