Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $148.00 / $698.14	Facility		$63.90	$148.00	$698.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $57.39 / $68.34	Professional		$40.39	$57.39	$68.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $37.28 / $62.14	Professional		$16.78	$37.28	$62.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $68.34 / $109.97	Facility		$54.87	$68.34	$109.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $31.92 / $67.11	Professional		$28.73	$31.92	$67.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $49.71	Professional		$43.50	$43.50	$49.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $65.25 / $87.00	Facility		$46.61	$65.25	$87.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $62.24 / $102.34	Professional		$40.39	$62.24	$102.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $63.98 / $220.61	Facility		$40.39	$63.98	$220.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $40.39 / $89.31	Professional		$29.55	$40.39	$89.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $126.22 / $287.64	Facility		$45.19	$126.22	$287.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $36.57 / $88.95	Professional		$20.72	$36.57	$88.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $59.25 / $86.19	Professional		$53.87	$59.25	$86.19
United Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $31.07 / $79.81	Professional		$19.91	$31.07	$79.81