Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $69.95 / $152.00	Facility		$28.21	$69.95	$152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.57 / $28.21	Professional		$17.97	$19.57	$28.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $33.65 / $36.43	Professional		$33.27	$33.65	$36.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $23.00 / $52.46	Professional		$19.17	$23.00	$52.46
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.68 / $18.68	Facility		$18.57	$18.68	$18.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $50.17	Professional		$18.68	$18.68	$50.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $44.87 / $69.00	Professional		$23.00	$44.87	$69.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $38.54 / $62.81	Professional		$23.00	$38.54	$62.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $41.66 / $41.66	Professional		$41.66	$41.66	$41.66
United Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $59.30 / $112.07	Professional		$41.47	$59.30	$112.07