Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $57.07 / $85.48	Facility		$27.35	$57.07	$85.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $27.35 / $34.19	Professional		$21.54	$27.35	$34.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
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 $14.02 / $14.02 / $36.92	Professional		$14.02	$14.02	$36.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $34.19 / $46.16	Facility		$23.07	$34.19	$46.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $44.45 / $46.16	Professional		$29.06	$44.45	$46.16
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 $15.30 / $17.89 / $49.04	Professional		$15.30	$17.89	$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 $15.30 / $16.03 / $47.02	Professional		$15.30	$16.03	$47.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $30.76 / $42.30	Professional		$25.64	$30.76	$42.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.51 / $41.03	Professional		$14.36	$20.51	$41.03