Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $90.58 / $162.19	Facility		$42.13	$90.58	$162.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $84.26	Professional		$42.13	$42.13	$84.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $26.33 / $26.33	Professional		$25.28	$26.33	$26.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $45.50	Professional		$16.85	$16.85	$45.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $26.54 / $26.54	Facility		$26.54	$26.54	$26.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $33.70 / $33.70	Professional		$33.70	$33.70	$33.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $54.77 / $73.73	Facility		$35.81	$54.77	$73.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $42.14 / $69.39	Professional		$27.38	$42.14	$69.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $28.93 / $243.91	Facility		$20.74	$28.93	$243.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $37.31 / $62.54	Professional		$20.34	$37.31	$62.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $53.12 / $140.00	Facility		$27.38	$53.12	$140.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $40.86 / $60.20	Professional		$21.30	$40.86	$60.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $34.76 / $50.56	Professional		$31.60	$34.76	$50.56
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.28 / $50.56	Professional		$17.69	$25.28	$50.56