Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $51.30 / $98.25	Facility		$20.81	$51.30	$98.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $18.59 / $31.21	Professional		$13.53	$18.59	$31.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
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
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 / $116.70	Facility		$13.53	$21.43	$116.70
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 $13.53 / $23.68 / $116.70	Facility		$13.53	$23.68	$116.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $13.25 / $39.27	Professional		$2.71	$13.25	$39.27
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 $8.51 / $12.49 / $29.07	Professional		$8.51	$12.49	$29.07