Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $32.65 / $74.11	Facility		$19.25	$32.65	$74.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $51.78	Professional		$19.25	$19.25	$51.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $37.29 / $37.29	Professional		$37.29	$37.29	$37.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $26.47 / $42.58	Facility		$21.24	$26.47	$42.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $24.40	Professional		$9.61	$9.61	$24.40
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $15.16 / $15.16	Facility		$15.16	$15.16	$15.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.26 / $32.47	Facility		$18.05	$25.26	$32.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $24.06 / $39.63	Professional		$15.64	$24.06	$39.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $24.77 / $50.67	Facility		$15.64	$24.77	$50.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $15.64 / $34.59	Professional		$11.06	$15.64	$34.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $24.77 / $51.55	Facility		$11.86	$24.77	$51.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.80 / $29.58	Professional		$11.06	$12.80	$29.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $19.85 / $28.88	Professional		$18.05	$19.85	$28.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $13.62 / $31.52	Professional		$6.64	$13.62	$31.52