Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $56.00 / $133.76	Facility		$25.29	$56.00	$133.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $23.92 / $53.59	Professional		$17.41	$23.92	$53.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $18.61 / $18.61	Professional		$18.61	$18.61	$18.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $29.47 / $47.41	Facility		$23.66	$29.47	$47.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $28.93	Professional		$13.23	$13.23	$28.93
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $16.88 / $16.88	Facility		$16.88	$16.88	$16.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $21.43 / $21.43	Professional		$21.43	$21.43	$21.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $26.79 / $36.17	Facility		$18.28	$26.79	$36.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $34.83 / $36.17	Professional		$22.77	$34.83	$36.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $27.58 / $89.73	Facility		$17.41	$27.58	$89.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $21.50 / $39.00	Professional		$13.54	$21.50	$39.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $27.58 / $101.59	Facility		$17.41	$27.58	$101.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $16.86 / $35.96	Professional		$13.47	$16.86	$35.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $22.09 / $32.14	Professional		$20.09	$22.09	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $37.40	Professional		$11.25	$16.07	$37.40