Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $95.50 / $239.88	Facility		$37.15	$95.50	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $91.20	Professional		$22.91	$28.18	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $20.89	Professional		$14.79	$17.38	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $37.15 / $64.57	Facility		$32.36	$37.15	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $46.77	Professional		$17.38	$21.88	$46.77
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $40.74 / $48.98	Facility		$28.18	$40.74	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $47.86	Professional		$35.48	$41.69	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $23.44 / $131.83	Facility		$22.91	$23.44	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $67.61	Professional		$17.78	$31.62	$67.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $109.65 / $239.88	Facility		$36.31	$109.65	$239.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.91 / $69.18	Professional		$13.49	$22.91	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $43.65	Professional		$26.30	$31.62	$43.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $81.28	Professional		$29.51	$47.86	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $35.48	Facility		$12.59	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $48.98	Professional		$14.79	$20.89	$48.98