Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $23.24 / $53.86	Facility		$12.80	$23.24	$53.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $17.48	Professional		$13.99	$13.99	$17.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $10.49	Professional		$10.49	$10.49	$10.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $19.23 / $30.95	Facility		$15.44	$19.23	$30.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $7.00 / $14.45	Professional		$6.69	$7.00	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $17.48 / $23.61	Facility		$9.94	$17.48	$23.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $22.74 / $23.61	Professional		$14.87	$22.74	$23.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $18.00 / $59.69	Facility		$10.69	$18.00	$59.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $9.36 / $25.30	Professional		$6.15	$9.36	$25.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $18.01 / $67.48	Facility		$10.69	$18.01	$67.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.93 / $12.85	Professional		$6.15	$7.93	$12.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $15.74 / $21.64	Professional		$13.12	$15.74	$21.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $7.87 / $20.99	Professional		$3.54	$7.87	$20.99