Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $70.95 / $104.53	Facility		$27.15	$70.95	$104.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $27.15 / $32.24	Professional		$26.47	$27.15	$32.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $23.57	Professional		$23.57	$23.57	$23.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $37.33 / $60.06	Facility		$29.97	$37.33	$60.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $36.65	Professional		$16.76	$16.76	$36.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $33.94 / $45.82	Facility		$23.16	$33.94	$45.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $44.12 / $45.82	Professional		$28.85	$44.12	$45.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $34.94 / $76.56	Facility		$22.06	$34.94	$76.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $27.24 / $49.40	Professional		$17.17	$27.24	$49.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $34.94 / $128.68	Facility		$22.06	$34.94	$128.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $22.06 / $56.91	Professional		$13.67	$22.06	$56.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.00 / $40.73	Professional		$25.46	$28.00	$40.73
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.36 / $54.75	Professional		$14.25	$20.36	$54.75