Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $89.07 / $140.40	Facility		$35.63	$89.07	$140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $17.54 / $24.08	Professional		$12.75	$17.54	$24.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.72 / $17.55	Professional		$14.45	$16.72	$17.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $26.49 / $42.61	Facility		$21.26	$26.49	$42.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.77 / $34.11	Professional		$8.61	$10.77	$34.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.28 / $32.51	Facility		$18.05	$25.28	$32.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $31.30 / $39.65	Professional		$15.65	$31.30	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $24.79 / $91.30	Facility		$15.65	$24.79	$91.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $12.66 / $31.41	Professional		$12.66	$12.66	$31.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $24.79 / $137.41	Facility		$15.65	$24.79	$137.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.66 / $19.32	Professional		$12.52	$12.66	$19.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Professional		$13.24	$13.24	$13.24
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.45 / $33.03	Professional		$10.11	$14.45	$33.03