Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $82.55 / $115.56	Professional		$68.15	$82.55	$115.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.33 / $124.33 / $124.33	Professional		$124.33	$124.33	$124.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $36.47 / $114.45	Professional		$17.94	$36.47	$114.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $90.49 / $103.38	Facility		$69.61	$90.49	$103.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $88.23 / $112.29	Professional		$76.92	$88.23	$112.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $92.64 / $92.64	Facility		$80.20	$92.64	$92.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $91.05 / $164.43	Professional		$66.47	$91.05	$164.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $92.64 / $92.69	Facility		$80.20	$92.64	$92.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $91.64 / $166.94	Professional		$64.77	$91.64	$166.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $75.28 / $102.79	Professional		$52.54	$75.28	$102.79
United Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $80.90 / $156.59	Professional		$59.04	$80.90	$156.59