Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $67.51 / $119.51	Facility		$35.53	$67.51	$119.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $27.07 / $31.01	Professional		$25.19	$27.07	$31.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $50.07	Professional		$19.38	$19.38	$50.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $35.53 / $57.16	Facility		$28.52	$35.53	$57.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $15.95 / $34.88	Professional		$15.95	$15.95	$34.88
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Facility		$20.35	$20.35	$20.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $32.29 / $43.61	Facility		$22.04	$32.29	$43.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $41.99 / $43.61	Professional		$27.46	$41.99	$43.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $33.26 / $108.17	Facility		$21.00	$33.26	$108.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $25.92 / $47.02	Professional		$16.35	$25.92	$47.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $37.40 / $114.28	Facility		$21.00	$37.40	$114.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $20.90 / $60.56	Professional		$13.23	$20.90	$60.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $26.65 / $38.76	Professional		$24.23	$26.65	$38.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.38 / $45.13	Professional		$13.57	$19.38	$45.13