Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $43.42 / $144.28	Facility		$19.51	$43.42	$144.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $25.29 / $42.83	Professional		$20.57	$25.29	$42.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $39.00 / $97.21	Professional	25	$25.11	$39.00	$97.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $29.62 / $56.16	Professional		$23.40	$29.62	$56.16
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $28.56 / $36.06 / $36.06	Professional	25	$28.56	$36.06	$36.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $27.43 / $41.92	Professional		$20.62	$27.43	$41.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $27.32 / $35.10	Facility		$23.03	$27.32	$35.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $33.49 / $52.96	Professional		$25.76	$33.49	$52.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $31.17 / $50.26	Professional		$23.64	$31.17	$50.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $31.86 / $47.63	Professional		$24.31	$31.86	$47.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $39.84 / $53.74	Professional		$27.85	$39.84	$53.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $31.66 / $49.68	Professional		$22.50	$31.66	$49.68