Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $20.25 / $24.23	Professional		$16.61	$20.25	$24.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $12.16 / $31.44	Professional		$10.13	$12.16	$31.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.80 / $34.83	Professional		$11.48	$14.80	$34.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $22.29 / $30.39	Facility		$20.26	$22.29	$30.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $26.34 / $33.36	Professional		$20.26	$26.34	$33.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $20.86 / $47.92	Professional		$10.24	$20.86	$47.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $18.21 / $47.92	Professional		$10.24	$18.21	$47.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $16.72 / $19.76	Professional		$15.20	$16.72	$19.76
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $20.26 / $37.46	Professional		$12.16	$20.26	$37.46