Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $78.20 / $144.97	Facility		$36.57	$78.20	$144.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $31.65 / $80.45	Professional		$29.26	$31.65	$80.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $25.39 / $56.68	Professional		$25.39	$25.39	$56.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $40.22 / $64.72	Facility		$32.29	$40.22	$64.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $39.49	Professional		$18.05	$18.05	$39.49
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $23.04 / $23.04	Facility		$23.04	$23.04	$23.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $29.26 / $29.26	Professional		$29.26	$29.26	$29.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $36.57 / $49.37	Facility		$24.95	$36.57	$49.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $47.54 / $49.37	Professional		$31.08	$47.54	$49.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $37.65 / $136.57	Facility		$23.77	$37.65	$136.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $29.34 / $53.23	Professional		$18.66	$29.34	$53.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $38.27 / $161.31	Facility		$23.77	$38.27	$161.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $29.39 / $49.11	Professional		$19.13	$29.39	$49.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $30.17 / $43.88	Professional		$27.43	$30.17	$43.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $22.00 / $51.09	Professional		$15.36	$22.00	$51.09