Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $132.43 / $870.35	Facility		$42.12	$132.43	$870.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $42.37 / $67.12	Professional		$38.92	$42.37	$67.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $56.83 / $56.83	Professional		$56.83	$56.83	$56.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $50.26 / $79.05	Professional		$35.70	$50.26	$79.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $45.61 / $59.85	Facility		$40.29	$45.61	$59.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $44.65 / $56.83	Professional		$44.65	$44.65	$56.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $69.27 / $69.27	Facility		$69.27	$69.27	$69.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $59.29 / $119.10	Professional		$40.29	$59.29	$119.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $69.27 / $163.11	Facility		$69.27	$69.27	$163.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $58.62 / $91.11	Professional		$40.29	$58.62	$91.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $38.81 / $49.90	Professional		$29.25	$38.81	$49.90
United Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $55.13 / $95.12	Professional		$39.58	$55.13	$95.12