Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $933.25 / $9,549.93	Facility		$33.88	$933.25	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $41.69 / $131.83	Professional		$19.05	$41.69	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $40.74	Professional		$33.88	$37.15	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $75.86	Professional		$25.70	$45.71	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $27.54 / $31.62	Facility		$18.20	$27.54	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $54.95	Professional		$45.71	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $36.31 / $81.28	Professional		$19.50	$36.31	$81.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $151.36 / $380.19	Facility		$81.28	$151.36	$380.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $36.31 / $81.28	Professional		$19.50	$36.31	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $45.71 / $70.79	Professional		$22.39	$45.71	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $56.23	Professional		$17.38	$33.11	$56.23