Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $933.25	Facility		$40.74	$69.18	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $40.74 / $57.54	Professional		$19.05	$40.74	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $56.23	Professional		$33.88	$39.81	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $85.11	Professional		$29.51	$41.69	$85.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $79.43	Facility		$33.11	$48.98	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $89.13	Professional		$42.66	$58.88	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $48.98	Facility		$33.88	$39.81	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $89.13	Facility		$33.88	$39.81	$89.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Professional		$33.88	$33.88	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $154.88 / $489.78	Professional		$51.29	$154.88	$489.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $138.04	Professional		$67.61	$75.86	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.20 / $43.65	Facility		$22.39	$30.20	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $43.65	Professional		$19.50	$30.90	$43.65