Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $47.63 / $123.93	Facility		$24.00	$47.63	$123.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.00 / $33.59	Professional		$24.00	$30.00	$33.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $26.63 / $40.00	Professional		$25.00	$26.63	$40.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $40.13 / $63.53	Facility		$35.72	$40.13	$63.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $40.32 / $64.66	Professional		$33.32	$40.32	$64.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $47.55 / $56.51	Facility		$38.04	$47.55	$56.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $49.45 / $88.19	Professional		$41.84	$49.45	$88.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $32.52 / $44.32	Facility		$32.52	$32.52	$44.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $38.73 / $60.00	Professional		$23.80	$38.73	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.16 / $29.54	Professional		$14.77	$22.16	$29.54