Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $23.46 / $47.71	Facility		$18.14	$23.46	$47.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $29.54 / $130.35	Professional		$20.56	$29.54	$130.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.54 / $40.63	Professional		$26.11	$30.54	$40.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $34.61 / $51.97	Professional		$27.02	$34.61	$51.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $37.44 / $45.02	Professional		$28.49	$37.44	$45.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $33.49 / $42.21	Facility		$28.07	$33.49	$42.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $37.72 / $57.14	Professional		$29.02	$37.72	$57.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $37.84 / $62.11	Professional		$29.16	$37.84	$62.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $40.63 / $67.38	Professional		$29.55	$40.63	$67.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $38.88 / $53.94	Professional		$26.21	$38.88	$53.94
Optum Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $35.86 / $107.90	Professional		$29.62	$35.86	$107.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $39.06 / $59.90	Professional		$28.01	$39.06	$59.90