Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $216.43 / $558.05	Facility		$24.96	$216.43	$558.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $24.96 / $42.43	Professional		$21.49	$24.96	$42.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $38.33 / $38.34	Professional		$30.45	$38.33	$38.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $56.22 / $145.66	Facility		$47.99	$56.22	$145.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $29.91 / $66.44	Professional		$24.93	$29.91	$66.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $43.44 / $43.44	Professional		$43.44	$43.44	$43.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $56.22 / $73.91	Facility		$42.42	$56.22	$73.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $63.35 / $87.10	Professional		$37.25	$63.35	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $61.86	Facility		$29.97	$35.00	$61.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $42.50	Professional		$25.55	$25.55	$42.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $35.00 / $58.13	Facility		$23.67	$35.00	$58.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $35.00 / $35.00	Professional		$25.55	$35.00	$35.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $32.01 / $41.96	Professional		$23.28	$32.01	$41.96
United Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.50 / $39.29	Professional		$17.00	$25.50	$39.29