Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $452.88 / $827.02	Facility		$16.89	$452.88	$827.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $9.73 / $66.12	Professional		$4.80	$9.73	$66.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.01 / $5.30	Professional		$4.46	$5.01	$5.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $39.20 / $83.24	Professional		$5.62	$39.20	$83.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $6.50 / $8.13	Facility		$5.42	$6.50	$8.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $67.78 / $111.99	Professional		$50.50	$67.78	$111.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $7.57	Facility		$7.57	$7.57	$7.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $190.43 / $410.66	Facility		$15.59	$190.43	$410.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $72.63 / $102.15	Professional		$51.96	$72.63	$102.15
United Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $65.08 / $108.93	Professional		$46.19	$65.08	$108.93