Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $50.54 / $140.26	Facility		$22.82	$50.54	$140.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $21.61 / $26.60	Professional		$19.34	$21.61	$26.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $16.79 / $37.47	Professional		$16.79	$16.79	$37.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $26.60 / $42.79	Facility		$21.35	$26.60	$42.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $26.11	Professional		$11.94	$11.94	$26.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $15.23 / $15.23	Facility		$15.23	$15.23	$15.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $24.18 / $32.64	Facility		$16.13	$24.18	$32.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $31.43 / $32.64	Professional		$20.55	$31.43	$32.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $24.90 / $90.29	Facility		$15.72	$24.90	$90.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $19.39 / $35.20	Professional		$12.22	$19.39	$35.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $24.90 / $93.11	Facility		$15.72	$24.90	$93.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $19.47 / $39.28	Professional		$12.57	$19.47	$39.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $19.95 / $29.02	Professional		$18.14	$19.95	$29.02
United Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $29.02 / $29.02	Facility		$29.02	$29.02	$29.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.70 / $33.79	Professional		$10.16	$14.70	$33.79