Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $62.04 / $284.39	Facility		$34.03	$62.04	$284.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $40.74	Professional		$19.55	$24.96	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $16.76 / $43.31	Professional		$13.97	$16.76	$43.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $30.73 / $49.45	Facility		$24.67	$30.73	$49.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $30.59	Professional		$13.80	$13.80	$30.59
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $17.60 / $17.60	Facility		$17.60	$17.60	$17.60
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $22.35 / $32.64	Professional		$22.35	$22.35	$32.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $29.34 / $37.72	Facility		$20.96	$29.34	$37.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $27.94 / $46.01	Professional		$18.16	$27.94	$46.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $28.77 / $63.02	Facility		$18.16	$28.77	$63.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $22.42 / $40.65	Professional		$14.20	$22.42	$40.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $58.01 / $179.77	Facility		$21.57	$58.01	$179.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $22.09 / $52.38	Professional		$14.20	$22.09	$52.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $23.05 / $33.53	Professional		$20.96	$23.05	$33.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $17.10 / $39.04	Professional		$11.73	$17.10	$39.04