Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $147.40 / $456.00	Facility		$47.71	$147.40	$456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $45.62 / $63.66	Professional		$22.81	$45.62	$63.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $13.16	Professional		$13.16	$13.16	$13.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.90 / $62.10	Facility		$30.98	$37.90	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.66 / $50.53	Professional		$17.32	$21.66	$50.53
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $22.11 / $22.11	Facility		$22.11	$22.11	$22.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $40.35 / $52.64	Facility		$35.09	$40.35	$52.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $76.39	Professional		$35.09	$45.62	$76.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $44.25 / $200.27	Facility		$36.11	$44.25	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $67.72	Professional		$17.82	$31.72	$67.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $69.38 / $209.76	Facility		$35.09	$69.38	$209.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $31.72 / $84.71	Professional		$17.21	$31.72	$84.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $31.58 / $43.42	Professional		$27.63	$31.58	$43.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $53.29	Professional		$14.74	$21.05	$53.29