Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $73.26 / $108.07	Facility		$28.07	$73.26	$108.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $28.07 / $52.63	Professional		$18.60	$28.07	$52.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $35.09 / $35.09	Professional		$13.16	$35.09	$35.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.90 / $62.10	Facility		$30.98	$37.90	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.96 / $50.53	Professional		$17.32	$20.96	$50.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $40.35 / $52.64	Facility		$35.09	$40.35	$52.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $76.39	Professional		$35.09	$45.62	$76.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $39.92 / $200.27	Facility		$36.11	$39.92	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $68.66	Professional		$17.82	$31.72	$68.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $50.87 / $200.27	Facility		$36.11	$50.87	$200.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $67.72	Professional		$17.82	$31.72	$67.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $31.58 / $43.42	Professional		$26.32	$31.58	$43.42
United Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Facility		$42.11	$42.11	$42.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $49.04	Professional		$14.74	$21.05	$49.04