Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $120.23	Facility		$41.69	$58.88	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $41.69 / $93.33	Professional		$40.74	$41.69	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $38.02	Professional		$15.85	$21.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.20 / $34.67	Professional		$16.60	$18.20	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $57.54	Facility		$33.11	$47.86	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $56.23	Professional		$41.69	$50.12	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $54.95	Facility		$26.92	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $61.66	Professional		$20.89	$39.81	$61.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $66.07 / $165.96	Facility		$20.42	$66.07	$165.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $60.26	Professional		$16.60	$33.88	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $51.29	Professional		$30.90	$37.15	$51.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $95.50	Professional		$35.48	$51.29	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $37.15 / $41.69	Facility		$14.79	$37.15	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $47.86	Professional		$25.12	$41.69	$47.86