Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $59.98 / $189.00	Facility		$22.27	$59.98	$189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.16 / $41.62	Professional		$16.64	$19.16	$41.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $14.46 / $32.26	Professional		$10.41	$14.46	$32.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $22.89 / $36.83	Facility		$18.38	$22.89	$36.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.28 / $22.47	Professional		$10.28	$10.28	$22.47
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $13.11 / $13.11	Facility		$13.11	$13.11	$13.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $21.85 / $28.09	Facility		$16.71	$21.85	$28.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $20.81 / $34.28	Professional		$13.53	$20.81	$34.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $21.43 / $47.88	Facility		$13.53	$21.43	$47.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $16.71 / $30.30	Professional		$10.57	$16.71	$30.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $21.43 / $118.79	Facility		$9.19	$21.43	$118.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $12.97 / $42.34	Professional		$1.20	$12.97	$42.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $17.17 / $24.97	Professional		$15.61	$17.17	$24.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $12.29 / $29.07	Professional		$8.44	$12.29	$29.07