Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $55.00 / $133.00	Facility		$20.23	$55.00	$133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.57 / $24.60	Professional		$17.97	$19.57	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $23.87 / $23.87	Professional		$17.46	$23.87	$23.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $22.04 / $52.46	Professional		$16.70	$22.04	$52.46
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $22.41 / $22.41	Facility		$16.71	$22.41	$22.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $26.63	Professional		$22.41	$22.41	$26.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Facility		$38.77	$38.77	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $32.36 / $46.94	Professional		$20.00	$32.36	$46.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Facility		$38.77	$38.77	$38.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $32.36 / $47.59	Professional		$20.00	$32.36	$47.59
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 $24.42 / $24.42 / $24.42	Professional		$24.42	$24.42	$24.42
United Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $43.09 / $77.87	Professional		$28.90	$43.09	$77.87