Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $359.78 / $990.00	Facility		$32.19	$359.78	$990.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $34.52 / $51.01	Professional		$27.20	$34.52	$51.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $42.78 / $42.97	Professional		$31.79	$42.78	$42.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $35.72 / $55.86	Professional		$25.80	$35.72	$55.86
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 $39.51 / $39.51 / $39.51	Facility		$39.51	$39.51	$39.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.00 / $61.89	Professional		$25.00	$39.00	$61.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $39.51 / $39.51	Facility		$39.51	$39.51	$39.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $39.00 / $60.06	Professional		$24.00	$39.00	$60.06
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 $33.47 / $43.75 / $77.40	Professional		$33.47	$43.75	$77.40
United Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $42.86 / $79.67	Professional		$30.69	$42.86	$79.67