Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $47.37 / $127.73	Facility		$15.40	$47.37	$127.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.94 / $21.61	Professional		$12.48	$12.94	$21.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Professional		$9.36	$9.36	$9.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.42 / $84.50	Facility		$19.50	$30.42	$84.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $23.01 / $35.13	Professional		$17.48	$23.01	$35.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $70.11 / $80.90	Facility		$53.93	$70.11	$80.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $70.11 / $129.43	Professional		$53.93	$70.11	$129.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $15.60	Professional		$13.26	$13.26	$15.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $49.31 / $136.06	Facility		$18.39	$49.31	$136.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $21.70	Professional		$13.26	$13.26	$21.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $140.96 / $226.30	Professional		$129.93	$140.96	$226.30
United Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $72.20 / $72.20	Facility		$72.20	$72.20	$72.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.93	Professional		$13.00	$13.00	$16.93