Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $81.50 / $224.08	Facility		$40.75	$81.50	$224.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $35.43 / $70.00	Professional		$31.79	$35.43	$70.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $28.30 / $63.17	Professional		$24.45	$28.30	$63.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $44.83 / $72.12	Facility		$35.97	$44.83	$72.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $44.01	Professional		$20.12	$20.12	$44.01
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $25.67 / $25.67	Facility		$25.67	$25.67	$25.67
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $32.60 / $32.60	Professional		$32.60	$32.60	$32.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $42.79 / $55.01	Facility		$30.56	$42.79	$55.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $40.84 / $67.11	Professional		$26.49	$40.84	$67.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $41.96 / $133.08	Facility		$26.49	$41.96	$133.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $32.70 / $59.32	Professional		$20.64	$32.70	$59.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $52.21 / $154.51	Facility		$26.49	$52.21	$154.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $31.00 / $73.91	Professional		$24.95	$31.00	$73.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $33.61 / $48.89	Professional		$30.56	$33.61	$48.89
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $24.45 / $56.94	Professional		$17.12	$24.45	$56.94