Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $27.48 / $69.00	Facility		$27.48	$27.48	$69.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $27.48 / $40.94	Professional		$24.61	$27.48	$40.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $42.21 / $44.46	Professional		$31.60	$42.21	$44.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $61.90 / $160.37	Facility		$52.84	$61.90	$160.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $30.60 / $73.15	Professional		$27.45	$30.60	$73.15
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Professional		$47.83	$47.83	$47.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $56.27 / $75.95	Facility		$42.20	$56.27	$75.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $56.27 / $120.49	Professional		$39.39	$56.27	$120.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $73.73	Facility		$34.77	$34.77	$73.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $46.79	Professional		$25.38	$25.38	$46.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $34.77	Facility		$34.77	$34.77	$34.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $34.77 / $34.77	Professional		$25.38	$34.77	$34.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $32.83 / $43.04	Professional		$23.88	$32.83	$43.04
United Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $28.07 / $40.78	Professional		$18.72	$28.07	$40.78