Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $73.84 / $229.00	Facility		$32.50	$73.84	$229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $31.56 / $73.84	Professional		$18.73	$31.56	$73.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $24.54	Professional		$21.20	$21.20	$24.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $38.86 / $62.52	Facility		$31.20	$38.86	$62.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.45 / $38.15	Professional		$17.29	$17.45	$38.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $35.33 / $47.70	Facility		$24.11	$35.33	$47.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $45.93 / $47.70	Professional		$30.03	$45.93	$47.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $36.36 / $147.93	Facility		$22.96	$36.36	$147.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $28.35 / $51.43	Professional		$18.00	$28.35	$51.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $36.36 / $147.93	Facility		$22.96	$36.36	$147.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $28.39 / $38.86	Professional		$18.42	$28.39	$38.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.15 / $42.40	Professional		$26.50	$29.15	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $21.20 / $49.37	Professional		$14.84	$21.20	$49.37