Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $91.20 / $186.21	Facility		$36.31	$91.20	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $151.36	Professional		$28.18	$33.88	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $26.30	Professional		$19.95	$26.30	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $39.81 / $69.18	Facility		$34.67	$39.81	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $47.86	Professional		$18.62	$22.91	$47.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $46.77	Facility		$30.20	$39.81	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $51.29	Professional		$24.55	$38.02	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $154.88	Facility		$24.55	$24.55	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $53.70	Professional		$19.05	$24.55	$53.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $69.18 / $154.88	Facility		$24.55	$69.18	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $23.99 / $70.79	Professional		$3.16	$23.99	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $46.77	Professional		$25.70	$30.90	$46.77
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $87.10	Professional		$24.55	$39.81	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.70 / $38.02	Facility		$13.49	$25.70	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $45.71	Professional		$15.85	$22.39	$45.71