Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $32.92 / $110.94	Facility		$5.27	$32.92	$110.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $32.92 / $42.36	Professional		$28.82	$32.92	$42.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $45.97 / $45.97	Professional		$45.97	$45.97	$45.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $67.42 / $174.68	Facility		$57.55	$67.42	$174.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $33.31 / $80.90	Professional		$29.90	$33.31	$80.90
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $52.10 / $52.10	Professional		$52.10	$52.10	$52.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $61.29 / $82.74	Facility		$45.97	$61.29	$82.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $55.48 / $131.22	Professional		$40.07	$55.48	$131.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $72.23	Facility		$34.22	$34.22	$72.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $24.98 / $36.71	Professional		$24.98	$24.98	$36.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $36.71	Facility		$34.22	$34.22	$36.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $34.22 / $36.71	Professional		$24.98	$34.22	$36.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.27 / $14.78	Professional		$8.19	$11.27	$14.78
United Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $28.81 / $41.17	Professional		$20.38	$28.81	$41.17