Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $63.26 / $204.15	Facility		$30.80	$63.26	$204.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.09 / $37.26	Professional		$16.78	$22.09	$37.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $40.01	Professional		$15.49	$15.49	$40.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $28.39 / $45.68	Facility		$22.79	$28.39	$45.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $12.75 / $27.87	Professional		$12.75	$12.75	$27.87
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $16.26	Facility		$16.26	$16.26	$16.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $23.79	Professional		$18.07	$18.07	$23.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $27.10 / $34.84	Facility		$19.36	$27.10	$34.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $25.93 / $42.51	Professional		$16.78	$25.93	$42.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $26.58 / $58.24	Facility		$16.78	$26.58	$58.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $20.72 / $37.57	Professional		$13.04	$20.72	$37.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $52.62 / $172.49	Facility		$14.12	$52.62	$172.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $14.81 / $43.29	Professional		$8.44	$14.81	$43.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $21.29 / $30.97	Professional		$19.36	$21.29	$30.97
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.49 / $34.09	Professional		$10.84	$15.49	$34.09