Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $37.86 / $75.92	Facility		$21.58	$37.86	$75.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $24.31 / $43.16	Professional		$21.57	$24.31	$43.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $24.35 / $35.11	Professional		$18.55	$24.35	$35.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $31.00 / $50.80	Professional		$25.18	$31.00	$50.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $21.56 / $29.11	Facility		$16.17	$21.56	$29.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $26.95 / $26.95	Professional		$23.82	$26.95	$26.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $32.19 / $53.78	Professional		$23.32	$32.19	$53.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $32.65 / $49.91	Professional		$24.49	$32.65	$49.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $39.86 / $53.74	Professional		$27.57	$39.86	$53.74
Optum Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $23.14 / $33.76	Professional		$16.76	$23.14	$33.76
United Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $30.72 / $55.86	Professional		$21.11	$30.72	$55.86