Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $53.37 / $102.10	Facility		$26.31	$53.37	$102.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $22.23 / $24.25	Professional		$16.59	$22.23	$24.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $17.73	Professional		$15.32	$15.32	$17.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $28.08 / $45.18	Facility		$22.54	$28.08	$45.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $12.61 / $27.57	Professional		$12.61	$12.61	$27.57
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $25.53 / $34.47	Facility		$17.42	$25.53	$34.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $33.19 / $34.47	Professional		$21.70	$33.19	$34.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $26.28 / $121.13	Facility		$16.59	$26.28	$121.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $20.49 / $37.15	Professional		$13.04	$20.49	$37.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $26.71 / $121.13	Facility		$14.47	$26.71	$121.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $18.22 / $42.80	Professional		$15.62	$18.22	$42.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $21.06 / $30.64	Professional		$19.14	$21.06	$30.64
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.32 / $35.67	Professional		$10.72	$15.32	$35.67