Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $56.78 / $100.95	Facility		$26.22	$56.78	$100.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.22 / $44.96	Professional		$20.00	$26.22	$44.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $19.66 / $19.66	Professional		$19.66	$19.66	$19.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $36.04 / $57.99	Facility		$28.94	$36.04	$57.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $13.11 / $21.30	Professional		$10.48	$13.11	$21.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $32.77 / $44.24	Facility		$21.07	$32.77	$44.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $42.60 / $44.24	Professional		$27.85	$42.60	$44.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $33.74 / $111.83	Facility		$21.30	$33.74	$111.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $22.54 / $46.98	Professional		$15.02	$22.54	$46.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $34.29 / $133.00	Facility		$21.30	$34.29	$133.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $21.30 / $44.60	Professional		$14.51	$21.30	$44.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $27.03 / $39.32	Professional		$24.58	$27.03	$39.32
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $19.66 / $39.32	Professional		$13.76	$19.66	$39.32