Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $51.00 / $105.00	Facility		$19.47	$51.00	$105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.00 / $19.47	Professional		$13.33	$15.00	$19.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $22.91 / $24.74	Professional		$12.69	$22.91	$24.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.56 / $22.24	Professional		$9.27	$12.56	$22.24
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.13 / $17.13	Facility		$17.02	$17.13	$17.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $34.14	Professional		$17.13	$17.13	$34.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $29.32 / $42.77	Professional		$10.00	$29.32	$42.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.30 / $42.77	Professional		$10.00	$21.30	$42.77
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 $23.25 / $23.25 / $23.25	Professional		$23.25	$23.25	$23.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $39.84 / $74.91	Professional		$27.77	$39.84	$74.91