Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $30.76 / $230.30	Facility		$21.45	$30.76	$230.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $33.68 / $53.93	Professional		$22.87	$33.68	$53.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $27.10 / $31.03	Professional		$24.39	$27.10	$31.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $31.47 / $51.50	Professional		$23.19	$31.47	$51.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $28.77 / $42.73	Facility		$21.58	$28.77	$42.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $39.74 / $51.98	Professional		$39.74	$39.74	$51.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $49.74 / $49.74	Facility		$49.74	$49.74	$49.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $39.77 / $69.05	Professional		$27.00	$39.77	$69.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $49.74 / $49.74	Facility		$49.74	$49.74	$49.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $40.00 / $70.00	Professional		$26.00	$40.00	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $35.58 / $49.88	Professional		$27.49	$35.58	$49.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $40.00 / $84.92	Professional		$30.19	$40.00	$84.92
United Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $41.20 / $84.92	Professional		$28.98	$41.20	$84.92