Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $112.20 / $389.05	Facility		$28.18	$112.20	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $51.29 / $85.11	Professional		$16.60	$51.29	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $102.33	Professional		$14.45	$16.22	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $46.77 / $91.20	Professional		$17.78	$46.77	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.42 / $27.54	Facility		$16.60	$20.42	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $134.90	Professional		$67.61	$79.43	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.84 / $53.70	Facility		$15.85	$28.84	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $61.66 / $117.49	Professional		$18.62	$61.66	$117.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $89.13	Facility		$28.84	$28.84	$89.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $58.88 / $114.82	Professional		$18.62	$58.88	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $52.48	Professional		$14.45	$32.36	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $47.86 / $128.82	Professional		$16.98	$47.86	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Facility		$162.18	$162.18	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $45.71 / $97.72	Professional		$16.98	$45.71	$97.72