Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $67.61 / $338.84	Facility		$20.42	$67.61	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $69.18	Professional		$19.05	$36.31	$69.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $64.57 / $95.50	Professional	25	$64.57	$64.57	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $29.51	Professional		$18.20	$22.91	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $54.95	Professional		$22.91	$31.62	$54.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $44.67	Professional		$20.89	$30.90	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $33.11	Facility		$18.20	$24.55	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $38.02	Professional		$22.39	$30.20	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.90 / $41.69	Facility		$37.15	$38.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $64.57	Professional		$19.95	$33.11	$64.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $60.26	Professional		$19.05	$29.51	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $75.86	Professional		$28.84	$39.81	$75.86
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $48.98	Professional		$25.70	$31.62	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $57.54	Professional		$22.39	$33.88	$57.54