Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $52.95 / $95.40	Facility		$26.46	$52.95	$95.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $25.51 / $27.52	Professional		$23.42	$25.51	$27.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $32.21 / $51.82	Facility		$25.85	$32.21	$51.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $31.62	Professional		$13.01	$13.01	$31.62
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Facility		$18.45	$18.45	$18.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $23.42	Professional		$23.42	$23.42	$23.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $30.74 / $39.53	Facility		$21.96	$30.74	$39.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $29.50 / $48.23	Professional		$19.03	$29.50	$48.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $30.14 / $110.99	Facility		$19.03	$30.14	$110.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $15.23 / $42.61	Professional		$14.19	$15.23	$42.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $30.14 / $113.36	Facility		$19.03	$30.14	$113.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $19.03 / $85.55	Professional		$14.19	$19.03	$85.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $24.15 / $35.13	Professional		$21.96	$24.15	$35.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $35.14	Professional		$12.30	$17.57	$35.14