Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $73.38 / $199.85	Facility		$27.00	$73.38	$199.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $25.57 / $35.10	Professional		$23.48	$25.57	$35.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $20.38 / $45.49	Professional		$17.61	$20.38	$45.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $16.96 / $27.29	Facility		$13.62	$16.96	$27.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $14.49 / $33.26	Professional		$14.49	$14.49	$33.26
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $18.48 / $18.48	Facility		$18.48	$18.48	$18.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $23.48 / $23.48	Professional		$23.48	$23.48	$23.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $30.82 / $39.61	Facility		$22.01	$30.82	$39.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $38.15 / $64.37	Professional		$19.07	$38.15	$64.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $30.22 / $188.87	Facility		$19.07	$30.22	$188.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $28.69 / $58.78	Professional		$21.77	$28.69	$58.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $37.61 / $197.90	Facility		$19.19	$37.61	$197.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $27.65 / $81.08	Professional		$18.78	$27.65	$81.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $21.80 / $35.21	Professional		$9.22	$21.80	$35.21
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.61 / $41.00	Professional		$12.33	$17.61	$41.00