Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $22.81 / $76.86	Facility		$19.63	$22.81	$76.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $26.35 / $44.49	Professional		$20.29	$26.35	$44.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.00 / $41.00 / $41.00	Professional	25	$41.00	$41.00	$41.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.03 / $38.54	Professional		$23.99	$33.03	$38.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $38.54 / $38.54 / $38.54	Professional	25	$38.54	$38.54	$38.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $30.37 / $47.31	Professional		$22.83	$30.37	$47.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $30.28 / $31.66	Professional		$26.91	$30.28	$31.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $28.03 / $35.99	Facility		$23.60	$28.03	$35.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $35.79 / $56.40	Professional		$27.53	$35.79	$56.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $35.79 / $59.22	Professional		$27.52	$35.79	$59.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $37.22 / $61.00	Professional		$27.97	$37.22	$61.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $39.24 / $53.74	Professional		$27.49	$39.24	$53.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $34.51 / $54.35	Professional		$24.83	$34.51	$54.35