Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $38.74 / $187.00	Facility		$23.93	$38.74	$187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $46.83 / $71.31	Professional		$29.84	$46.83	$71.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $56.39 / $57.22	Professional		$51.21	$56.39	$57.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $61.27 / $92.74	Professional		$41.00	$61.27	$92.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $37.88 / $51.14	Facility		$28.41	$37.88	$51.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $61.07 / $78.77	Professional		$44.14	$61.07	$78.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $53.78	Facility		$53.78	$53.78	$53.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $61.52 / $114.31	Professional		$39.29	$61.52	$114.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $53.78	Facility		$53.78	$53.78	$53.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $61.27 / $104.66	Professional		$39.31	$61.27	$104.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $67.99 / $100.66	Professional		$51.19	$67.99	$100.66
United Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $69.86 / $110.18	Professional		$47.91	$69.86	$110.18