Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $96.40 / $123.06	Facility		$59.80	$96.40	$123.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $59.80 / $72.00	Professional		$38.15	$59.80	$72.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Professional		$64.31	$64.31	$64.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $120.49 / $186.21	Professional		$100.98	$120.49	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $726.55 / $1,778.76	Facility		$69.20	$726.55	$1,778.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $808.13 / $1,616.78	Professional		$78.28	$808.13	$1,616.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $95.49 / $95.49	Professional		$95.49	$95.49	$95.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $74.14 / $117.79	Professional		$55.43	$74.14	$117.79