Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $173.34 / $475.20	Facility		$37.25	$173.34	$475.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $64.92 / $88.72	Professional		$20.36	$64.92	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $15.27 / $15.27	Professional		$12.73	$15.27	$15.27
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 / $27.84	Professional		$20.36	$20.36	$27.84
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 / $79.81	Facility		$16.54	$26.20	$79.81
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 $16.54 / $54.85 / $127.92	Facility		$16.54	$54.85	$127.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.64 / $47.99	Professional		$12.88	$18.64	$47.99
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 Facility Modifier Low / Median / High Price $12.73 / $25.45 / $25.45	Facility		$12.73	$25.45	$25.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $35.54	Professional		$10.69	$15.27	$35.54