Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $104.71 / $8,128.31	Facility		$44.67	$104.71	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $7,413.10	Professional		$37.15	$38.90	$7,413.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $44.67	Professional		$36.31	$38.02	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $60.26 / $134.90	Facility		$40.74	$60.26	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $64.57	Professional		$38.02	$42.66	$64.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $54.95	Professional		$36.31	$40.74	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $70.79	Facility		$32.36	$32.36	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $56.23	Professional		$38.02	$38.02	$56.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.02 / $97.72	Facility		$32.36	$38.02	$97.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $70.79	Professional		$38.02	$38.02	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $56.23	Professional		$38.02	$44.67	$56.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $83.18	Professional		$37.15	$46.77	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $40.74	Facility		$38.02	$38.02	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $39.81 / $50.12	Professional		$37.15	$39.81	$50.12