Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $118.41 / $250.91	Facility		$34.00	$118.41	$250.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $56.00 / $69.23	Professional		$20.36	$56.00	$69.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $17.68	Professional		$15.27	$15.27	$17.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $28.00 / $45.04	Facility		$22.47	$28.00	$45.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $27.48	Professional		$12.57	$12.57	$27.48
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Facility		$16.03	$16.03	$16.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $20.36 / $20.36	Professional		$20.36	$20.36	$20.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $26.72 / $34.36	Facility		$19.09	$26.72	$34.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $25.61 / $41.91	Professional		$16.54	$25.61	$41.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $26.20 / $88.98	Facility		$16.54	$26.20	$88.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $37.04	Professional		$12.88	$20.42	$37.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $37.99 / $103.81	Facility		$12.26	$37.99	$103.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.34 / $46.40	Professional		$12.88	$18.34	$46.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $20.99 / $30.54	Professional		$19.09	$20.99	$30.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.58 / $35.54	Professional		$10.69	$15.58	$35.54