Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $34.33 / $60.00	Facility		$34.33	$34.33	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $34.33 / $46.32	Professional		$16.80	$34.33	$46.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $54.08 / $54.08	Professional		$28.39	$54.08	$54.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $57.70 / $92.75	Facility		$49.21	$57.70	$92.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $31.07 / $73.77	Professional		$25.30	$31.07	$73.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $54.08 / $54.08	Professional		$54.08	$54.08	$54.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $59.49 / $80.31	Facility		$45.97	$59.49	$80.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $64.90 / $102.55	Professional		$37.86	$64.90	$102.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $63.37	Facility		$36.21	$36.21	$63.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $42.48	Professional		$26.43	$26.43	$42.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $36.21 / $36.21	Professional		$26.43	$36.21	$36.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $30.84 / $40.43	Professional		$22.43	$30.84	$40.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.98 / $41.58	Professional		$17.98	$26.98	$41.58