Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $54.95 / $83.18	Facility		$22.91	$54.95	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $43.65	Professional		$19.95	$23.99	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $43.65	Professional		$19.95	$27.54	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $25.70	Facility		$16.98	$22.39	$25.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.90 / $41.69	Facility		$37.15	$38.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $51.29	Professional		$19.05	$28.18	$51.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $46.77	Professional		$18.20	$26.92	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $40.74	Professional		$18.20	$24.55	$40.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $43.65	Professional		$23.99	$30.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $45.71	Professional		$19.05	$25.70	$45.71