Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $26.05 / $77.00	Facility		$26.05	$26.05	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $26.05 / $32.54	Professional		$19.14	$26.05	$32.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $41.04 / $41.04	Professional		$41.04	$41.04	$41.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $23.66 / $54.17	Professional		$18.21	$23.66	$54.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $49.25 / $60.96	Facility		$41.04	$49.25	$60.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $53.35 / $87.87	Professional		$45.14	$53.35	$87.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $48.10 / $48.10	Facility		$48.10	$48.10	$48.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $36.62 / $42.48	Professional		$29.30	$36.62	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $20.29 / $29.74	Professional		$13.65	$20.29	$29.74