Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $39.25 / $127.00	Professional		$30.36	$39.25	$127.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.01 / $17.46 / $22.29	Professional	52	$15.01	$17.46	$22.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $39.02 / $47.40	Professional		$29.12	$39.02	$47.40
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.69 / $10.18 / $13.15	Professional	52	$9.69	$10.18	$13.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $44.04 / $88.54	Professional		$31.76	$44.04	$88.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $53.95 / $53.95	Professional		$33.93	$53.95	$53.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $38.74 / $44.26	Facility		$29.80	$38.74	$44.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $37.32 / $47.50	Professional		$33.38	$37.32	$47.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $53.33	Facility		$34.00	$34.00	$53.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $39.15 / $76.12	Professional		$28.41	$39.15	$76.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $38.96	Facility		$34.00	$34.00	$38.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $42.41 / $86.13	Professional		$29.21	$42.41	$86.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $40.33 / $53.95	Professional		$27.57	$40.33	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $37.22 / $70.80	Professional		$27.29	$37.22	$70.80