Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $81.97 / $81.97	Facility		$81.97	$81.97	$81.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.25 / $27.31	Professional		$22.91	$26.25	$27.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.31 / $15.97	Professional		$13.31	$13.31	$15.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $19.26 / $44.15	Professional		$15.01	$19.26	$44.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $29.27 / $39.92	Facility		$26.61	$29.27	$39.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $34.59 / $43.83	Professional		$26.61	$34.59	$43.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $56.05 / $56.05	Facility		$56.05	$56.05	$56.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $28.36 / $62.85	Professional		$13.54	$28.36	$62.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $56.05 / $56.05	Facility		$56.05	$56.05	$56.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $27.79 / $62.85	Professional		$12.97	$27.79	$62.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $21.95 / $25.94	Professional		$19.96	$21.95	$25.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $26.61 / $48.46	Professional		$15.97	$26.61	$48.46