Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Facility		$19.35	$19.35	$19.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.34 / $39.11	Professional		$16.60	$21.34	$39.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $40.93	Professional		$37.58	$37.58	$40.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $36.88 / $77.06	Professional		$29.50	$36.88	$77.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $50.11 / $60.62	Professional		$50.11	$50.11	$60.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $28.54 / $59.16	Facility		$3.62	$28.54	$59.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $29.58 / $65.23	Professional		$3.62	$29.58	$65.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $62.00	Facility		$24.27	$24.27	$62.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $24.27 / $42.89	Professional		$20.63	$24.27	$42.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $37.24	Facility		$24.27	$24.27	$37.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $24.27 / $31.85	Professional		$5.19	$24.27	$31.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $72.10	Professional		$40.00	$50.00	$72.10
United Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $18.88 / $31.31	Facility		$2.33	$18.88	$31.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $23.96 / $36.88	Professional		$13.90	$23.96	$36.88