Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $74.52 / $383.00	Facility		$20.19	$74.52	$383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $27.09 / $55.76	Professional		$18.73	$27.09	$55.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $22.69 / $28.97	Professional		$17.23	$22.69	$28.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $29.74 / $47.55	Professional		$21.87	$29.74	$47.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $27.59 / $31.04	Professional		$20.69	$27.59	$31.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $24.05 / $32.47	Facility		$18.04	$24.05	$32.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $31.66 / $41.19	Professional		$22.76	$31.66	$41.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $41.81 / $41.81	Facility		$41.81	$41.81	$41.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $32.36 / $65.00	Professional		$20.00	$32.36	$65.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $41.81 / $41.81	Facility		$41.81	$41.81	$41.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $31.63 / $65.00	Professional		$19.22	$31.63	$65.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $35.58 / $49.90	Professional		$27.57	$35.58	$49.90
Optum Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $40.00 / $81.59	Professional		$28.05	$40.00	$81.59
United Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $40.00 / $67.69	Professional		$23.93	$40.00	$67.69