Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $63.08 / $114.65	Facility		$29.24	$63.08	$114.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $26.61 / $44.72	Professional		$22.30	$26.61	$44.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Professional		$21.52	$21.52	$21.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $34.08 / $54.83	Facility		$27.36	$34.08	$54.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $33.45	Professional		$15.30	$15.30	$33.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Facility		$19.52	$19.52	$19.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $24.78 / $24.78	Professional		$24.78	$24.78	$24.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $30.98 / $41.82	Facility		$21.14	$30.98	$41.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $40.27 / $41.82	Professional		$26.33	$40.27	$41.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $31.90 / $103.75	Facility		$20.14	$31.90	$103.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.86 / $45.10	Professional		$15.69	$24.86	$45.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $34.60 / $117.50	Facility		$20.14	$34.60	$117.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $24.95 / $51.93	Professional		$16.11	$24.95	$51.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $25.56 / $37.18	Professional		$23.24	$25.56	$37.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $19.00 / $43.28	Professional		$13.01	$19.00	$43.28