Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $36.77 / $119.00	Facility		$36.77	$36.77	$119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $36.77 / $53.09	Professional		$32.97	$36.77	$53.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $54.08 / $54.08	Professional		$54.08	$54.08	$54.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $75.30 / $195.08	Facility		$64.27	$75.30	$195.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $40.06 / $90.26	Professional		$33.39	$40.06	$90.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $58.18 / $58.18	Professional		$58.18	$58.18	$58.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $68.45 / $92.41	Facility		$51.34	$68.45	$92.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $68.45 / $146.57	Professional		$44.49	$68.45	$146.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $89.91	Facility		$42.77	$42.77	$89.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $31.22 / $54.64	Professional		$31.22	$31.22	$54.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $42.77	Professional		$31.22	$42.77	$42.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $39.93 / $52.34	Professional		$29.04	$39.93	$52.34
United Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $33.85 / $54.76	Facility		$21.75	$33.85	$54.76
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $34.15 / $49.61	Professional		$22.77	$34.15	$49.61