Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $78.17 / $202.19	Facility		$17.39	$78.17	$202.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $30.18 / $101.70	Professional		$10.50	$30.18	$101.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Professional		$37.72	$37.72	$37.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $41.50 / $66.77	Facility		$33.32	$41.50	$66.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $26.03	Professional		$4.82	$4.82	$26.03
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $23.77 / $23.77	Facility		$23.77	$23.77	$23.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $30.18 / $30.18	Professional		$30.18	$30.18	$30.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $37.72 / $50.94	Facility		$12.05	$37.72	$50.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $49.05 / $50.94	Professional		$32.07	$49.05	$50.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $7.92 / $47.57	Facility		$6.67	$7.92	$47.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $33.00 / $54.21	Professional		$16.50	$33.00	$54.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $7.82 / $79.44	Facility		$6.67	$7.82	$79.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $17.23 / $46.54	Professional		$4.86	$17.23	$46.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $31.13 / $45.28	Professional		$28.30	$31.13	$45.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $37.72	Professional		$5.05	$7.23	$37.72