Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $79.80 / $277.20	Facility		$32.44	$79.80	$277.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $25.68 / $59.20	Professional		$19.23	$25.68	$59.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.76 / $45.88	Professional		$14.80	$17.76	$45.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $32.56 / $52.38	Facility		$26.14	$32.56	$52.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $31.96	Professional		$16.78	$16.78	$31.96
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Facility		$18.64	$18.64	$18.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $23.68 / $34.58	Professional		$20.72	$23.68	$34.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $31.08 / $39.96	Facility		$22.20	$31.08	$39.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $29.82 / $48.75	Professional		$19.23	$29.82	$48.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $30.48 / $66.79	Facility		$19.23	$30.48	$66.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $23.76 / $43.09	Professional		$15.03	$23.76	$43.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $54.39 / $149.86	Facility		$11.51	$54.39	$149.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $15.39 / $53.69	Professional		$4.94	$15.39	$53.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $24.42 / $35.52	Professional		$22.20	$24.42	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $47.74	Professional		$12.43	$17.76	$47.74