Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.52 / $32.52 / $96.00	Facility		$32.52	$32.52	$96.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $32.52 / $40.25	Professional		$25.80	$32.52	$40.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $45.41 / $45.41	Professional		$45.41	$45.41	$45.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $66.59 / $172.54	Facility		$56.85	$66.59	$172.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $32.25 / $78.70	Professional		$29.53	$32.25	$78.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $51.46 / $54.49	Professional		$51.46	$51.46	$54.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $60.54 / $81.73	Facility		$40.17	$60.54	$81.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $54.49 / $129.63	Professional		$39.35	$54.49	$129.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $72.61	Facility		$39.15	$39.15	$72.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $50.03	Professional		$28.59	$28.59	$50.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $39.15	Professional		$28.59	$39.15	$39.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $35.44 / $46.46	Professional		$25.77	$35.44	$46.46
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $28.85 / $40.26	Professional		$20.13	$28.85	$40.26