Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $55.00 / $123.00	Facility		$19.47	$55.00	$123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.47 / $24.60	Professional		$17.97	$19.47	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $24.74	Professional		$16.60	$22.91	$24.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.63 / $49.37	Professional		$15.00	$19.63	$49.37
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 / $22.41 / $22.41	Facility		$17.02	$22.41	$22.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $34.14	Professional		$22.41	$22.41	$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 $20.00 / $30.55 / $42.77	Professional		$20.00	$30.55	$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 $21.00 / $31.00 / $42.77	Professional		$21.00	$31.00	$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 $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
United Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $39.75 / $72.47	Professional		$25.35	$39.75	$72.47