Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.29 / $212.58 / $601.60	Facility		$53.29	$212.58	$601.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $10.61 / $69.92	Professional		$6.07	$10.61	$69.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.14 / $8.46	Professional		$4.46	$6.14	$8.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $15.20 / $25.53	Professional		$8.23	$15.20	$25.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $6.49 / $8.46	Facility		$5.53	$6.49	$8.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $7.33 / $12.65	Professional		$5.64	$7.33	$12.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $12.74 / $12.74	Facility		$12.74	$12.74	$12.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $25.90 / $44.05	Professional		$16.88	$25.90	$44.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $83.94 / $146.35 / $259.02	Facility		$83.94	$146.35	$259.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $16.82 / $35.10	Professional		$6.61	$16.82	$35.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $5.92 / $6.51	Professional		$5.53	$5.92	$6.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $10.89 / $18.76	Professional		$6.68	$10.89	$18.76