Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $72.33 / $225.00	Facility		$22.63	$72.33	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $38.39 / $54.43	Professional		$19.87	$38.39	$54.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $25.67 / $54.36	Professional		$16.73	$25.67	$54.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $37.43 / $62.28	Professional		$21.13	$37.43	$62.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $38.83 / $38.83	Professional		$29.12	$38.83	$38.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $22.33 / $30.15	Facility		$16.75	$22.33	$30.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $44.32 / $54.36	Professional		$32.03	$44.32	$54.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $47.00 / $68.54	Professional		$27.32	$47.00	$68.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $46.27 / $67.98	Professional		$28.00	$46.27	$67.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $67.99 / $101.43	Professional		$51.19	$67.99	$101.43
Optum Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $53.88 / $97.76	Professional		$40.57	$53.88	$97.76
United Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $54.83 / $98.06	Professional		$39.13	$54.83	$98.06