Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $77.48 / $288.01	Facility		$30.49	$77.48	$288.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.78 / $60.11	Professional		$19.05	$21.78	$60.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $18.61 / $42.19	Professional		$18.61	$18.61	$42.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $29.94 / $48.17	Facility		$24.04	$29.94	$48.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $29.39	Professional		$13.23	$13.23	$29.39
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $17.14	Facility		$17.14	$17.14	$17.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.58 / $36.75	Facility		$20.42	$28.58	$36.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $27.23 / $44.83	Professional		$17.69	$27.23	$44.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $28.02 / $101.59	Facility		$17.69	$28.02	$101.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $21.50 / $39.24	Professional		$13.54	$21.50	$39.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $88.59 / $268.95	Facility		$28.02	$88.59	$268.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $17.03 / $35.96	Professional		$14.17	$17.03	$35.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $22.46 / $32.67	Professional		$14.97	$22.46	$32.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $16.32 / $35.95	Professional		$11.43	$16.32	$35.95