Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $53.26 / $78.45	Facility		$20.38	$53.26	$78.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.20 / $28.53	Professional		$18.84	$22.20	$28.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $17.69	Professional		$17.69	$17.69	$17.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $28.03 / $45.09	Facility		$22.50	$28.03	$45.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $27.51	Professional		$12.58	$12.58	$27.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.48 / $34.40	Facility		$17.38	$25.48	$34.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $33.11 / $34.40	Professional		$21.66	$33.11	$34.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $26.23 / $83.18	Facility		$16.55	$26.23	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.45 / $37.09	Professional		$12.88	$20.45	$37.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $26.23 / $96.60	Facility		$16.55	$26.23	$96.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.55 / $34.19	Professional		$12.88	$16.55	$34.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $21.02 / $30.57	Professional		$19.11	$21.02	$30.57
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.29 / $35.60	Professional		$10.70	$15.29	$35.60