Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $95.78 / $217.80	Facility		$43.51	$95.78	$217.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.59 / $91.77	Professional		$22.81	$31.59	$91.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$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 $19.88 / $22.29 / $56.17	Professional		$19.88	$22.29	$56.17
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $22.11 / $22.11	Facility		$22.11	$22.11	$22.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $28.24 / $28.24	Professional		$28.24	$28.24	$28.24
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 $35.03 / $79.20 / $159.10	Facility		$35.03	$79.20	$159.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $26.98 / $77.06	Professional		$11.90	$26.98	$77.06
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 / $49.04	Professional		$14.74	$21.05	$49.04