Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $43.86 / $73.02	Facility		$15.79	$43.86	$73.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $17.64 / $21.71	Professional		$15.79	$17.64	$21.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $13.71	Professional		$13.71	$13.71	$13.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $21.71 / $34.93	Facility		$17.43	$21.71	$34.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $9.75 / $21.31	Professional		$9.75	$9.75	$21.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $19.73 / $26.65	Facility		$13.82	$19.73	$26.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $25.66 / $26.65	Professional		$16.78	$25.66	$26.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $20.32 / $74.81	Facility		$12.83	$20.32	$74.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $15.84 / $28.73	Professional		$10.07	$15.84	$28.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $20.32 / $76.93	Facility		$12.83	$20.32	$76.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $15.87 / $26.51	Professional		$10.07	$15.87	$26.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $16.29 / $23.69	Professional		$14.81	$16.29	$23.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $12.08 / $27.59	Professional		$8.28	$12.08	$27.59