Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $117.00	Facility		$35.90	$35.90	$117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $35.90 / $48.45	Professional		$27.63	$35.90	$48.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $28.34 / $73.52	Professional		$28.34	$28.34	$73.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Professional		$56.56	$56.56	$56.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $56.56 / $76.36	Facility		$42.42	$56.56	$76.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $56.56 / $121.11	Professional		$36.76	$56.56	$121.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $33.97 / $66.28	Facility		$32.69	$33.97	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $40.47	Professional		$28.88	$28.88	$40.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $33.97 / $35.97	Facility		$32.69	$33.97	$35.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $35.97	Professional		$28.88	$33.97	$35.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $26.62 / $34.89	Professional		$19.36	$26.62	$34.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.63 / $36.13	Professional		$18.48	$26.63	$36.13