Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $46.34 / $433.80	Facility		$22.18	$46.34	$433.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $17.73 / $46.56	Professional		$15.52	$17.73	$46.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $13.86 / $13.86	Professional		$13.86	$13.86	$13.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $24.39 / $39.22	Facility		$19.57	$24.39	$39.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $23.94	Professional		$8.92	$8.92	$23.94
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $13.97 / $13.97	Facility		$13.97	$13.97	$13.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $17.73 / $17.73	Professional		$17.73	$17.73	$17.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $22.17 / $29.93	Facility		$14.79	$22.17	$29.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $28.82 / $29.93	Professional		$18.84	$28.82	$29.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $22.83 / $67.44	Facility		$14.41	$22.83	$67.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.49 / $32.01	Professional		$10.07	$14.49	$32.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $28.40 / $219.11	Facility		$14.41	$28.40	$219.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $14.54 / $32.74	Professional		$11.32	$14.54	$32.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $18.29 / $26.60	Professional		$16.63	$18.29	$26.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $13.30 / $27.41	Professional		$9.31	$13.30	$27.41