Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $83.24 / $101.63	Facility		$30.16	$83.24	$101.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $30.16 / $41.60	Professional		$15.17	$30.16	$41.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $37.19 / $39.14	Professional		$37.19	$37.19	$39.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $25.46 / $61.76	Professional		$19.59	$25.46	$61.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $47.51 / $70.56	Facility		$24.75	$47.51	$70.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $61.76 / $101.73	Professional		$52.26	$61.76	$101.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $15.51 / $19.78	Professional		$11.99	$15.51	$19.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $23.49 / $30.16	Professional		$15.80	$23.49	$30.16