Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $58.12 / $99.90	Facility		$22.24	$58.12	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $24.73 / $27.80	Professional		$22.24	$24.73	$27.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.58 / $49.20	Facility		$24.55	$30.58	$49.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $30.02	Professional		$13.73	$13.73	$30.02
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $17.51 / $17.51	Facility		$17.51	$17.51	$17.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $29.19 / $37.53	Facility		$20.85	$29.19	$37.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $27.87 / $45.78	Professional		$18.07	$27.87	$45.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $28.62 / $103.81	Facility		$18.07	$28.62	$103.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $22.31 / $40.47	Professional		$14.20	$22.31	$40.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $29.09 / $107.98	Facility		$18.07	$29.09	$107.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $21.78 / $29.84	Professional		$14.20	$21.78	$29.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $22.93 / $33.36	Professional		$20.85	$22.93	$33.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $16.73 / $38.85	Professional		$11.68	$16.73	$38.85