Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $85.75 / $467.83	Facility		$26.56	$85.75	$467.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $26.65 / $48.37	Professional		$22.00	$26.65	$48.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $27.47 / $40.40	Professional		$25.64	$27.47	$40.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $52.77 / $87.21	Professional		$28.06	$52.77	$87.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $26.07	Professional		$26.07	$26.07	$26.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $28.46 / $35.54	Facility		$23.72	$28.46	$35.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $33.89 / $42.94	Professional		$26.07	$33.89	$42.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $39.24 / $53.74	Professional		$27.49	$39.24	$53.74
United Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $33.11 / $51.29	Professional		$23.91	$33.11	$51.29