Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $72.18 / $678.48	Facility		$25.28	$72.18	$678.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $24.28 / $167.44	Professional		$21.42	$24.28	$167.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $29.46 / $47.39	Facility		$23.65	$29.46	$47.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.22 / $33.18	Professional		$13.22	$13.22	$33.18
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $16.87 / $16.87	Facility		$16.87	$16.87	$16.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $26.78 / $36.15	Facility		$21.49	$26.78	$36.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $34.81 / $36.15	Professional		$22.76	$34.81	$36.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $27.58 / $101.54	Facility		$17.41	$27.58	$101.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $21.49 / $38.97	Professional		$13.54	$21.49	$38.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $27.58 / $101.54	Facility		$17.41	$27.58	$101.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $17.39 / $38.54	Professional		$5.03	$17.39	$38.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $22.09 / $32.14	Professional		$14.73	$22.09	$32.14
United Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.11 / $37.40	Professional		$11.25	$16.11	$37.40