Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $174.00 / $209.57	Facility		$0.03	$174.00	$209.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $16.03 / $54.15	Professional		$12.51	$16.03	$54.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.69 / $21.24	Professional		$13.80	$16.69	$21.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $19.69 / $54.11	Professional		$15.17	$19.69	$54.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Professional		$15.17	$15.17	$15.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $14.87 / $19.72	Facility		$11.38	$14.87	$19.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.45 / $24.99	Professional		$12.17	$16.45	$24.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $14.28 / $14.28	Professional		$2.95	$14.28	$14.28
Optum Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $42.52 / $42.52	Professional		$42.52	$42.52	$42.52
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $20.48 / $30.34	Professional		$14.84	$20.48	$30.34