Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $83.39 / $35,460.00	Facility		$35.33	$83.39	$35,460.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.28 / $45.26	Professional		$32.96	$33.28	$45.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $53.07 / $82.40	Facility		$35.60	$53.07	$82.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $37.24 / $55.57	Professional		$32.96	$37.24	$55.57
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $78.12 / $78.12	Facility		$78.12	$78.12	$78.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Professional		$32.96	$32.96	$32.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $33.00 / $49.44	Facility		$32.96	$33.00	$49.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.00 / $52.74	Professional		$32.96	$33.00	$52.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $32.29 / $46.70	Facility		$31.10	$32.29	$46.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $41.86	Professional		$32.96	$32.96	$41.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $41.24 / $86.64	Facility		$31.10	$41.24	$86.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $46.65	Professional		$32.96	$32.96	$46.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $37.90 / $46.90	Professional		$32.96	$37.90	$46.90
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $39.72	Professional		$32.96	$32.96	$39.72