Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $43.65 / $79.43	Facility		$25.70	$43.65	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $87.10	Professional		$21.38	$28.84	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $46.77	Professional		$13.49	$17.38	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $32.36 / $43.65	Facility		$25.12	$32.36	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $42.66	Professional		$31.62	$31.62	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $97.72	Facility		$21.38	$21.38	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $50.12	Professional		$15.14	$21.88	$50.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $34.67 / $165.96	Facility		$22.91	$34.67	$165.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $50.12	Professional		$15.14	$22.39	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $74.13	Professional		$33.11	$39.81	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.84 / $46.77	Professional		$16.60	$28.84	$46.77