Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $80.34 / $211.45	Facility		$30.20	$80.34	$211.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.46 / $63.00	Professional		$30.20	$35.46	$63.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $41.78	Professional		$25.84	$25.84	$41.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $46.00 / $75.00	Professional		$35.63	$46.00	$75.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $30.23 / $40.81	Facility		$22.67	$30.23	$40.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $37.79 / $37.79	Professional		$33.40	$37.79	$37.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $45.21 / $78.00	Professional		$33.18	$45.21	$78.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $45.72 / $72.23	Professional		$34.20	$45.72	$72.23
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 $23.10 / $31.88 / $46.06	Professional		$23.10	$31.88	$46.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $44.02 / $82.59	Professional		$30.86	$44.02	$82.59