Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $69.48 / $93.88	Facility		$33.44	$69.48	$93.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $41.25 / $100.80	Professional		$31.19	$41.25	$100.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $28.05 / $28.05	Professional		$28.05	$28.05	$28.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $69.23 / $192.34	Facility		$44.39	$69.23	$192.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $32.17 / $58.51	Professional		$30.18	$32.17	$58.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $28.48	Facility		$18.86	$18.86	$28.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $25.46	Professional		$18.86	$18.86	$25.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $33.14 / $33.14	Facility		$33.14	$33.14	$33.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $33.14 / $50.76	Professional		$33.14	$33.14	$50.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $21.55 / $87.62	Facility		$11.53	$21.55	$87.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $33.14 / $54.23	Professional		$33.14	$33.14	$54.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $33.89 / $36.29	Professional		$28.49	$33.89	$36.29