Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $35.79 / $226.32	Facility		$10.13	$35.79	$226.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.00 / $25.84	Professional		$13.24	$16.00	$25.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $12.43	Professional		$10.74	$10.74	$12.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $19.69 / $31.68	Facility		$15.81	$19.69	$31.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $8.84 / $19.32	Professional		$7.23	$8.84	$19.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $17.89 / $24.17	Facility		$12.21	$17.89	$24.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $23.27 / $24.17	Professional		$15.22	$23.27	$24.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $18.44 / $40.38	Facility		$11.64	$18.44	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $14.37 / $26.06	Professional		$9.08	$14.37	$26.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $18.44 / $68.84	Facility		$11.64	$18.44	$68.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $11.64 / $24.05	Professional		$9.08	$11.64	$24.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $14.77 / $21.48	Professional		$13.43	$14.77	$21.48
United Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $17.89 / $17.89	Facility		$11.64	$17.89	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $8.94 / $23.45	Professional		$2.74	$8.94	$23.45