Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $80.65 / $377.69	Facility		$47.90	$80.65	$377.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $33.58 / $38.61	Professional		$25.10	$33.58	$38.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $26.82	Professional		$23.17	$23.17	$26.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $42.48 / $68.34	Facility		$34.10	$42.48	$68.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $41.70	Professional		$19.07	$19.07	$41.70
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $24.33 / $24.33	Facility		$24.33	$24.33	$24.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $40.54 / $52.14	Facility		$28.97	$40.54	$52.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $38.61 / $63.61	Professional		$25.10	$38.61	$63.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $39.76 / $87.13	Facility		$25.10	$39.76	$87.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $30.99 / $56.21	Professional		$19.64	$30.99	$56.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $69.98 / $172.94	Facility		$25.10	$69.98	$172.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $30.78 / $70.04	Professional		$21.96	$30.78	$70.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $31.86 / $46.35	Professional		$28.97	$31.86	$46.35
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.17 / $51.01	Professional		$16.22	$23.17	$51.01