Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $77.00	Facility		$26.99	$26.99	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $26.99 / $40.36	Professional		$26.31	$26.99	$40.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $43.66 / $43.66	Professional		$43.66	$43.66	$43.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.90 / $60.80 / $157.52	Facility		$51.90	$60.80	$157.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $33.20 / $72.88	Professional		$27.69	$33.20	$72.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.45 / $55.27 / $77.38	Facility		$41.45	$55.27	$77.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $55.27 / $118.34	Professional		$35.93	$55.27	$118.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $68.79	Facility		$34.54	$34.54	$68.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $44.12	Professional		$25.21	$25.21	$44.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Facility		$34.54	$34.54	$34.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.54 / $34.54	Professional		$25.21	$34.54	$34.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.24 / $42.26	Professional		$23.44	$32.24	$42.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $27.58 / $42.50	Professional		$18.38	$27.58	$42.50