Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $31.54 / $77.00	Facility		$31.54	$31.54	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $34.85 / $48.89	Professional		$31.54	$34.85	$48.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.74 / $63.78 / $101.29	Facility		$53.74	$63.78	$101.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $46.47 / $84.27	Professional		$37.18	$46.47	$84.27
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $71.53 / $71.53	Professional		$71.53	$71.53	$71.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $67.92 / $88.59	Facility		$59.06	$67.92	$88.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $76.78 / $139.63	Professional		$50.20	$76.78	$139.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $40.36 / $99.91	Facility		$23.77	$40.36	$99.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $49.86	Professional		$34.31	$34.31	$49.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $40.36 / $49.86	Facility		$23.77	$40.36	$49.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $34.31 / $40.36	Professional		$33.72	$34.31	$40.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $31.81 / $61.96	Professional		$20.25	$31.81	$61.96