Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $30.39 / $60.00	Facility		$23.31	$30.39	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $32.54 / $56.59	Professional		$24.05	$32.54	$56.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $44.01 / $51.77	Professional		$36.74	$44.01	$51.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $37.45 / $37.45 / $37.45	Professional	25	$37.45	$37.45	$37.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $40.75 / $61.95	Professional		$27.34	$40.75	$61.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $40.68 / $40.68	Professional		$40.68	$40.68	$40.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $33.02 / $42.21	Facility		$27.72	$33.02	$42.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $48.07 / $75.20	Professional		$36.97	$48.07	$75.20
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 $29.83 / $43.26 / $68.00	Professional		$29.83	$43.26	$68.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $123.50	Facility		$39.92	$39.92	$123.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $44.38 / $65.67	Professional		$30.95	$44.38	$65.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $74.17 / $102.04	Professional		$52.98	$74.17	$102.04
United Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $46.75 / $75.42	Professional		$33.78	$46.75	$75.42