Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $306.00 / $840.00	Facility		$37.02	$306.00	$840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $26.89 / $80.00	Professional		$11.60	$26.89	$80.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $13.84 / $27.48	Professional		$10.65	$13.84	$27.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.36 / $24.58	Professional		$12.07	$12.36	$24.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $45.04	Professional		$11.45	$11.45	$45.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $13.17 / $17.18	Facility		$9.86	$13.17	$17.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $51.68 / $89.40	Professional		$43.58	$51.68	$89.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $45.78 / $80.91	Professional		$11.99	$45.78	$80.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $210.45 / $403.20	Facility		$89.80	$210.45	$403.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $36.57 / $78.89	Professional		$11.99	$36.57	$78.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $35.36 / $50.20	Professional		$26.07	$35.36	$50.20
United Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.77 / $97.54	Professional		$41.29	$56.77	$97.54