Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $64.86 / $107.40	Facility		$36.36	$64.86	$107.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $37.36 / $71.00	Professional		$29.27	$37.36	$71.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Professional		$36.36	$36.36	$36.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $87.45 / $242.91	Facility		$56.06	$87.45	$242.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $69.31	Professional		$41.12	$41.12	$69.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $37.36 / $54.92	Facility		$36.36	$37.36	$54.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $37.36 / $50.45	Professional		$36.36	$37.36	$50.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $47.32	Facility		$35.25	$35.25	$47.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $50.40	Professional		$47.32	$47.32	$50.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $45.18 / $109.93	Facility		$8.33	$45.18	$109.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $47.32 / $50.40	Professional		$47.32	$47.32	$50.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $46.71 / $52.73	Professional		$40.00	$46.71	$52.73
United Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $49.16 / $51.12	Professional		$40.14	$49.16	$51.12