Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $83.62 / $104.30	Facility		$27.09	$83.62	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $30.25 / $33.86	Professional		$27.09	$30.25	$33.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $20.32 / $23.51	Professional		$20.30	$20.32	$23.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $37.25 / $59.92	Facility		$29.90	$37.25	$59.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $16.72 / $36.56	Professional		$16.72	$16.72	$36.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $33.86 / $45.71	Facility		$25.82	$33.86	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $44.02 / $45.71	Professional		$28.78	$44.02	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $34.86 / $113.42	Facility		$22.01	$34.86	$113.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $27.18 / $49.28	Professional		$17.17	$27.18	$49.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $35.44 / $130.90	Facility		$22.01	$35.44	$130.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $26.86 / $54.62	Professional		$17.17	$26.86	$54.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $27.94 / $40.64	Professional		$25.40	$27.94	$40.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $47.31	Professional		$14.22	$20.32	$47.31