Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $56.79 / $216.77	Facility		$26.10	$56.79	$216.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $24.27 / $44.98	Professional		$21.74	$24.27	$44.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $18.87	Professional		$16.30	$16.30	$18.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.89 / $48.08	Facility		$23.99	$29.89	$48.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $29.34	Professional		$13.42	$13.42	$29.34
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $17.12 / $17.12	Facility		$17.12	$17.12	$17.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $21.74	Professional		$21.74	$21.74	$21.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $28.53 / $36.68	Facility		$20.38	$28.53	$36.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $27.23 / $44.75	Professional		$17.66	$27.23	$44.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $27.97 / $88.74	Facility		$17.66	$27.97	$88.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $21.80 / $39.54	Professional		$13.87	$21.80	$39.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $46.48 / $178.65	Facility		$17.76	$46.48	$178.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $21.20 / $45.54	Professional		$13.87	$21.20	$45.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $22.41 / $32.60	Professional		$20.38	$22.41	$32.60
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $16.30 / $37.95	Professional		$11.41	$16.30	$37.95