Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $91.64 / $458.52	Facility		$48.56	$91.64	$458.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $36.79 / $54.30	Professional		$32.20	$36.79	$54.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $24.77 / $28.66	Professional		$20.64	$24.77	$28.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $45.41 / $73.05	Facility		$36.45	$45.41	$73.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $20.38 / $44.58	Professional		$20.38	$20.38	$44.58
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $26.01 / $26.01	Facility		$26.01	$26.01	$26.01
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $33.02 / $48.22	Professional		$28.90	$33.02	$48.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $43.34 / $55.73	Facility		$30.96	$43.34	$55.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $41.49 / $67.98	Professional		$26.83	$41.49	$67.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $42.50 / $93.10	Facility		$26.83	$42.50	$93.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $33.11 / $60.08	Professional		$20.97	$33.11	$60.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $72.31 / $224.04	Facility		$22.59	$72.31	$224.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $29.67 / $73.61	Professional		$16.51	$29.67	$73.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $34.05 / $49.53	Professional		$30.96	$34.05	$49.53
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $24.77 / $57.67	Professional		$17.34	$24.77	$57.67