Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $29.36 / $29.36	Facility		$29.36	$29.36	$29.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $29.36 / $48.75	Professional		$28.28	$29.36	$48.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $43.81 / $43.81	Professional		$43.81	$43.81	$43.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $68.73 / $109.98	Facility		$49.88	$68.73	$109.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $45.80 / $95.70	Professional		$38.93	$45.80	$95.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $64.64 / $64.88	Professional		$59.93	$64.64	$64.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $40.40 / $64.88	Facility		$4.90	$40.40	$64.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $40.82 / $76.28	Professional		$4.57	$40.82	$76.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $65.34	Facility		$33.36	$33.36	$65.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $33.36 / $58.50	Professional		$28.36	$33.36	$58.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $41.85	Facility		$33.36	$33.36	$41.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $33.36	Professional		$33.36	$33.36	$33.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $48.42 / $67.26	Professional		$32.28	$48.42	$67.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $29.27 / $45.26	Professional		$18.84	$29.27	$45.26