Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $181.97	Facility		$120.23	$125.89	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $181.97	Professional		$19.05	$19.05	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.96 / $11.22	Professional		$5.89	$10.96	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $25.12	Professional		$8.13	$10.72	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $1.51 / $4.17	Facility		$0.35	$1.51	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $34.67	Professional		$10.96	$12.59	$34.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $4.17 / $263.03	Facility		$0.35	$4.17	$263.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $239.88	Professional		$10.96	$12.59	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.02 / $16.60	Facility		$8.32	$12.02	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $25.70	Professional		$9.33	$13.18	$25.70