Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $99.56 / $423.00	Facility		$59.06	$99.56	$423.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $39.06 / $62.65	Professional		$36.49	$39.06	$62.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $28.58 / $33.08	Professional		$23.82	$28.58	$33.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $52.39 / $84.29	Facility		$42.06	$52.39	$84.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $23.52 / $51.44	Professional		$13.68	$23.52	$51.44
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Facility		$30.01	$30.01	$30.01
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $38.10 / $53.16	Professional		$38.10	$38.10	$53.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $50.01 / $64.30	Facility		$35.72	$50.01	$64.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $47.65 / $78.44	Professional		$30.96	$47.65	$78.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $49.04 / $105.32	Facility		$30.96	$49.04	$105.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $38.22 / $69.34	Professional		$24.27	$38.22	$69.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $89.97 / $315.89	Facility		$39.20	$89.97	$315.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $35.83 / $89.20	Professional		$24.27	$35.83	$89.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $39.29 / $57.15	Professional		$35.72	$39.29	$57.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.58 / $66.54	Professional		$20.00	$28.58	$66.54