Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $42.00 / $56.00	Facility		$27.90	$42.00	$56.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $47.60 / $70.36	Professional		$27.90	$47.60	$70.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $57.75 / $99.39	Professional		$34.69	$57.75	$99.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $42.28 / $52.83	Facility		$35.22	$42.28	$52.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $68.78 / $87.14	Professional		$52.91	$68.78	$87.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $50.89	Professional		$50.89	$50.89	$50.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $74.60 / $102.58	Professional		$56.31	$74.60	$102.58
Optum Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $70.01 / $75.66	Professional		$70.01	$70.01	$75.66
United Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $77.01 / $137.38	Professional		$54.25	$77.01	$137.38