Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $46.77 / $4,570.88	Facility		$20.42	$46.77	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $40.74	Professional		$19.95	$20.89	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.02 / $104.71	Facility		$22.39	$38.02	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $36.31	Professional		$20.42	$22.91	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Facility		$19.50	$19.50	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $28.18	Professional		$20.42	$20.42	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $64.57	Facility		$19.50	$20.42	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $33.88	Professional		$17.78	$20.42	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $41.69	Professional		$21.88	$28.84	$41.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $47.86	Professional		$20.42	$34.67	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $20.42 / $20.42	Facility		$19.95	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $21.88	Professional		$20.42	$20.42	$21.88