Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $34.33 / $72.00	Facility		$34.33	$34.33	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $34.33 / $46.32	Professional		$23.25	$34.33	$46.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $40.56 / $54.08	Professional		$28.39	$40.56	$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 $30.75 / $40.10 / $82.38	Professional		$30.75	$40.10	$82.38
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 $40.56 / $54.08 / $73.01	Facility		$40.56	$54.08	$73.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $54.08 / $115.80	Professional		$35.15	$54.08	$115.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $63.37	Facility		$35.60	$35.60	$63.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $25.99 / $42.48	Professional		$25.99	$25.99	$42.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $35.60	Facility		$35.60	$35.60	$35.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $35.59 / $35.60	Professional		$25.99	$35.59	$35.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $39.21 / $51.41	Professional		$28.52	$39.21	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.14 / $39.19	Professional		$17.98	$26.14	$39.19