Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $36.67 / $110.04	Facility		$16.23	$36.67	$110.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $42.00 / $57.30	Professional		$33.71	$42.00	$57.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $37.40 / $37.40	Professional		$37.40	$37.40	$37.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $56.36 / $89.21	Facility		$50.16	$56.36	$89.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $57.19 / $88.30	Professional		$45.00	$57.19	$88.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $61.43 / $79.34	Facility		$43.24	$61.43	$79.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $69.45 / $114.38	Professional		$58.76	$69.45	$114.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $62.23 / $62.23	Facility		$62.23	$62.23	$62.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $44.10 / $60.00	Professional		$27.10	$44.10	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $31.12 / $45.20	Professional		$20.74	$31.12	$45.20