Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $81.28	Facility		$28.18	$41.69	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $56.23	Professional		$31.62	$32.36	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.92 / $30.20	Professional		$25.70	$26.92	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $67.61 / $204.17	Facility		$33.88	$67.61	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $56.23	Professional		$30.90	$33.88	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Facility		$21.38	$21.38	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $52.48	Professional		$35.48	$35.48	$52.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $35.48	Facility		$17.78	$35.48	$35.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $52.48	Professional		$35.48	$35.48	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $66.07	Professional		$34.67	$47.86	$66.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $77.62	Professional		$34.67	$38.02	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $38.02	Professional		$30.20	$36.31	$38.02