Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $43.60 / $199.08	Facility		$25.87	$43.60	$199.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.19 / $35.84	Professional		$14.60	$18.19	$35.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $14.68	Professional		$12.52	$12.52	$14.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $22.95 / $36.92	Facility		$18.42	$22.95	$36.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $22.52	Professional		$10.30	$10.30	$22.52
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $13.14 / $13.14	Facility		$13.14	$13.14	$13.14
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $16.69 / $22.38	Professional		$16.69	$16.69	$22.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $21.90 / $28.16	Facility		$15.65	$21.90	$28.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $20.86 / $34.36	Professional		$13.56	$20.86	$34.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $21.48 / $47.06	Facility		$13.56	$21.48	$47.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $16.73 / $30.37	Professional		$10.57	$16.73	$30.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $43.93 / $136.94	Facility		$15.58	$43.93	$136.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $15.04 / $36.79	Professional		$8.52	$15.04	$36.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $17.21 / $25.04	Professional		$15.65	$17.21	$25.04
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.52 / $27.55	Professional		$8.76	$12.52	$27.55