Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $52.83 / $240.03	Facility		$26.10	$52.83	$240.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $22.47 / $22.91	Professional		$20.22	$22.47	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $17.55 / $17.55	Professional		$15.16	$17.55	$17.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $27.80 / $44.72	Facility		$22.31	$27.80	$44.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $27.29	Professional		$12.48	$12.48	$27.29
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $15.92 / $15.92	Facility		$15.92	$15.92	$15.92
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $20.22 / $20.22	Professional		$20.22	$20.22	$20.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $26.53 / $34.11	Facility		$18.95	$26.53	$34.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $25.28 / $41.62	Professional		$16.43	$25.28	$41.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $26.03 / $57.03	Facility		$16.43	$26.03	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.28 / $36.78	Professional		$12.88	$20.28	$36.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $32.38 / $186.77	Facility		$16.43	$32.38	$186.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $19.80 / $47.51	Professional		$15.47	$19.80	$47.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $20.84 / $30.32	Professional		$18.95	$20.84	$30.32
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.20 / $35.31	Professional		$10.61	$15.20	$35.31