Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $42.89 / $69.43	Facility		$21.38	$42.89	$69.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.82 / $61.60	Professional		$21.38	$26.82	$61.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Professional		$23.22	$23.22	$23.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $40.54 / $69.20	Facility		$25.07	$40.54	$69.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $20.90 / $37.95	Professional		$20.90	$20.90	$37.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $23.22 / $33.75	Facility		$22.35	$23.22	$33.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.22 / $31.35	Professional		$22.35	$23.22	$31.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $30.79	Professional		$22.95	$22.95	$30.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $31.04 / $48.65	Facility		$9.32	$31.04	$48.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $35.20	Professional		$22.95	$22.95	$35.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $33.52 / $47.38	Professional		$27.93	$33.52	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $24.63 / $27.69	Professional		$19.82	$24.63	$27.69