Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $239.00 / $684.00	Facility		$47.71	$239.00	$684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $61.38 / $147.38	Professional		$25.14	$61.38	$147.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $17.55 / $35.09	Professional		$13.16	$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 / $24.85 / $56.17	Professional		$19.88	$24.85	$56.17
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 / $44.25 / $291.17	Facility		$36.11	$44.25	$291.17
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 $35.60 / $81.38 / $235.40	Facility		$35.60	$81.38	$235.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $33.53 / $84.71	Professional		$17.21	$33.53	$84.71
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 Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $51.13	Professional		$14.74	$21.05	$51.13