Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $63.82 / $101.32	Facility		$27.99	$63.82	$101.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.26 / $79.56	Professional		$27.99	$28.26	$79.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $41.99 / $41.99	Professional		$41.99	$41.99	$41.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $45.06 / $69.98	Facility		$30.23	$45.06	$69.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.96 / $48.98	Professional		$27.99	$31.96	$48.98
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.62 / $42.51	Facility		$27.99	$28.62	$42.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $44.78	Professional		$27.99	$28.62	$44.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $24.47 / $27.99	Facility		$22.33	$24.47	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $33.49	Professional		$27.99	$27.99	$33.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $74.15 / $173.42	Facility		$24.47	$74.15	$173.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $40.64	Professional		$27.99	$27.99	$40.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $31.48 / $40.06	Professional		$27.42	$31.48	$40.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $35.27	Professional		$27.99	$27.99	$35.27