Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $41.75 / $115.22	Professional		$26.71	$41.75	$115.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.33 / $45.42	Professional		$16.22	$24.33	$45.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $58.82 / $113.47	Professional		$32.42	$58.82	$113.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $57.64 / $57.64	Professional		$57.64	$57.64	$57.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $36.94 / $50.28	Facility		$27.57	$36.94	$50.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Facility		$74.23	$74.23	$74.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $35.68 / $75.18	Professional		$16.22	$35.68	$75.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Facility		$74.23	$74.23	$74.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $37.29 / $80.19	Professional		$16.37	$37.29	$80.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $76.49 / $103.54	Professional		$46.62	$76.49	$103.54
United Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $52.16 / $94.98	Professional		$31.30	$52.16	$94.98