Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $23.58 / $35.77	Professional		$18.73	$23.58	$35.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $24.29 / $29.95	Professional		$21.42	$24.29	$29.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $24.77 / $45.67	Professional		$19.37	$24.77	$45.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $29.05 / $37.15 / $68.51	Professional	50	$29.05	$37.15	$68.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $27.26 / $29.95	Professional		$23.04	$27.26	$29.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $25.16 / $31.15	Facility		$20.77	$25.16	$31.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $24.65 / $31.10	Professional		$22.72	$24.65	$31.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $27.21 / $46.37	Professional		$18.07	$27.21	$46.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $28.62 / $46.44	Professional		$18.67	$28.62	$46.44
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $51.00 / $51.00 / $51.00	Professional	50	$51.00	$51.00	$51.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.49 / $22.93 / $24.94	Professional		$19.49	$22.93	$24.94
United Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $22.76 / $41.39	Professional		$17.93	$22.76	$41.39