Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $98.82 / $203.30	Facility		$38.75	$98.82	$203.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $33.11 / $75.00	Professional		$22.81	$33.11	$75.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $35.09 / $35.09	Professional		$13.16	$35.09	$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 $17.13 / $21.30 / $39.47	Professional		$17.13	$21.30	$39.47
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 / $39.92 / $200.27	Facility		$36.11	$39.92	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $36.11 / $66.05	Professional		$17.82	$36.11	$66.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $75.78 / $170.05	Facility		$36.11	$75.78	$170.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $36.38 / $84.71	Professional		$17.82	$36.38	$84.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $31.58 / $43.42	Professional		$26.32	$31.58	$43.42
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $35.09 / $49.81	Professional		$21.05	$35.09	$49.81