Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $38.44 / $74.37	Facility		$14.71	$38.44	$74.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $26.54	Professional		$14.71	$14.71	$26.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $12.78 / $12.78	Professional		$12.78	$12.78	$12.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $20.23 / $32.54	Facility		$16.23	$20.23	$32.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $19.86	Professional		$9.08	$9.08	$19.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $18.39 / $24.83	Facility		$12.55	$18.39	$24.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $23.91 / $24.83	Professional		$15.63	$23.91	$24.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $18.93 / $69.77	Facility		$11.95	$18.93	$69.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.76 / $26.78	Professional		$9.41	$14.76	$26.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $18.93 / $71.51	Facility		$11.95	$18.93	$71.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $11.95 / $24.70	Professional		$9.41	$11.95	$24.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $15.16 / $22.06	Professional		$13.79	$15.16	$22.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.06 / $33.49	Professional		$7.72	$11.06	$33.49