Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $143.00 / $499.07	Facility		$38.44	$143.00	$499.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $25.20 / $88.20	Professional		$15.84	$25.20	$88.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $54.11 / $76.31	Professional		$17.82	$54.11	$76.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $17.36 / $27.54	Professional		$17.36	$17.36	$27.54
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $24.59 / $41.06	Professional		$19.67	$24.59	$41.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $37.44 / $48.14	Facility		$26.75	$37.44	$48.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $35.65 / $58.73	Professional		$23.18	$35.65	$58.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $39.97 / $163.07	Facility		$21.42	$39.97	$163.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $29.71 / $58.85	Professional		$18.92	$29.71	$58.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $66.50 / $331.20	Facility		$23.52	$66.50	$331.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $19.85 / $59.18	Professional		$12.97	$19.85	$59.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $24.23 / $48.06	Professional		$15.73	$24.23	$48.06