Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $54.06 / $108.59	Facility		$20.05	$54.06	$108.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $18.04 / $28.94	Professional		$16.04	$18.04	$28.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $12.03	Professional		$12.03	$12.03	$12.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $21.65 / $35.47	Facility		$17.70	$21.65	$35.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $12.33 / $28.86	Professional		$9.90	$12.33	$28.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Facility		$12.63	$12.63	$12.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $23.06 / $30.08	Facility		$20.05	$23.06	$30.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $26.07 / $43.85	Professional		$20.05	$26.07	$43.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $25.28 / $114.40	Facility		$20.63	$25.28	$114.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $17.89 / $38.89	Professional		$10.24	$17.89	$38.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $29.21 / $114.40	Facility		$12.76	$29.21	$114.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $15.42 / $47.29	Professional		$10.24	$15.42	$47.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $18.04 / $24.81	Professional		$15.79	$18.04	$24.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $29.21	Professional		$8.42	$12.03	$29.21