Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $58.80 / $105.30	Facility		$27.35	$58.80	$105.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $27.35 / $32.47	Professional		$17.53	$27.35	$32.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $21.91 / $21.91	Professional		$21.91	$21.91	$21.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $37.61 / $60.51	Facility		$30.19	$37.61	$60.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.39 / $23.59	Professional		$4.90	$6.39	$23.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $44.45 / $800.05	Facility		$25.64	$44.45	$800.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $74.98 / $948.92	Professional		$35.85	$74.98	$948.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $35.20 / $119.65	Facility		$22.22	$35.20	$119.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $39.24 / $49.04	Professional		$22.22	$39.24	$49.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $35.20 / $132.25	Facility		$22.22	$35.20	$132.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Professional		$22.22	$22.22	$22.22
United Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $34.19 / $34.19	Facility		$17.10	$34.19	$34.19
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.51 / $41.03	Professional		$14.36	$20.51	$41.03