Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $83.55 / $139.09	Facility		$33.42	$83.55	$139.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $30.42 / $71.58	Professional		$22.25	$30.42	$71.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.88 / $45.95 / $73.92	Facility		$36.88	$45.95	$73.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $16.71 / $41.77	Professional		$16.71	$16.71	$41.77
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $26.32 / $26.32	Facility		$26.32	$26.32	$26.32
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $41.77 / $56.39	Facility		$26.43	$41.77	$56.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $54.30 / $56.39	Professional		$35.50	$54.30	$56.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $43.01 / $142.54	Facility		$27.15	$43.01	$142.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $24.62 / $59.89	Professional		$15.93	$24.62	$59.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $43.01 / $142.54	Facility		$20.57	$43.01	$142.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $19.14 / $47.02	Professional		$15.71	$19.14	$47.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $37.59 / $51.69	Professional		$31.33	$37.59	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $21.87 / $50.12	Professional		$14.65	$21.87	$50.12