Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $106.80 / $600.97	Facility		$26.58	$106.80	$600.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $34.22 / $48.59	Professional		$26.58	$34.22	$48.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $32.09 / $42.97	Professional		$30.88	$32.09	$42.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $35.72 / $55.43	Professional		$24.13	$35.72	$55.43
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $30.69 / $30.69	Professional		$30.69	$30.69	$30.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $30.69 / $41.43	Facility		$23.02	$30.69	$41.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $35.29 / $42.97	Professional		$25.32	$35.29	$42.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Facility		$38.69	$38.69	$38.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.00 / $61.67	Professional		$25.00	$39.00	$61.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Facility		$38.69	$38.69	$38.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.00 / $57.68	Professional		$25.00	$39.00	$57.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $33.22 / $50.00	Professional		$25.10	$33.22	$50.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $43.54 / $77.40	Professional		$32.04	$43.54	$77.40
United Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $43.75 / $78.81	Professional		$30.69	$43.75	$78.81