Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $86.66 / $128.69	Facility		$35.09	$86.66	$128.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $31.58 / $45.62	Professional		$20.46	$31.58	$45.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $21.05 / $35.09	Professional		$13.16	$21.05	$35.09
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 $14.04 / $15.72 / $40.94	Professional		$14.04	$15.72	$40.94
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 $31.32 / $36.13 / $200.27	Facility		$31.32	$36.13	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $31.72 / $67.72	Professional		$17.03	$31.72	$67.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $44.25 / $136.32	Facility		$23.49	$44.25	$136.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $19.64 / $67.72	Professional		$17.03	$19.64	$67.72
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 / $46.34	Professional		$14.74	$21.05	$46.34