Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $74.73 / $142.76	Facility		$25.14	$74.73	$142.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $36.15 / $46.35	Professional		$23.17	$36.15	$46.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $27.81 / $28.97	Professional		$25.03	$27.81	$28.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $50.99 / $82.03	Facility		$40.93	$50.99	$82.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.08 / $18.54	Professional		$6.37	$8.08	$18.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $37.08 / $37.08	Professional		$37.08	$37.08	$37.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $48.67 / $62.57	Facility		$34.76	$48.67	$62.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $46.35 / $76.34	Professional		$30.13	$46.35	$76.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $47.70 / $158.18	Facility		$30.13	$47.70	$158.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $60.47	Professional		$24.37	$24.37	$60.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $47.73 / $176.74	Facility		$30.13	$47.73	$176.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $24.37 / $48.66	Professional		$13.40	$24.37	$48.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $38.23 / $55.61	Professional		$24.33	$38.23	$55.61
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.66 / $46.35	Facility		$9.77	$11.66	$46.35
United Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $20.86 / $60.72	Professional		$7.54	$20.86	$60.72