Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $81.75 / $266.49	Facility		$57.17	$81.75	$266.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $68.01 / $189.50	Professional		$56.07	$68.01	$189.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $54.29	Professional		$44.20	$44.20	$54.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.50 / $64.06 / $73.12	Facility		$60.50	$64.06	$73.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $77.09 / $126.48	Professional		$56.82	$77.09	$126.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Professional		$65.20	$65.20	$65.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $42.30 / $82.06	Facility		$18.64	$42.30	$82.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $40.68 / $69.06	Professional		$20.10	$40.68	$69.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $72.01 / $72.01	Facility		$46.08	$72.01	$72.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $83.70 / $145.78	Professional		$55.25	$83.70	$145.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $87.40 / $522.67	Facility		$57.96	$87.40	$522.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $80.12 / $145.78	Professional		$56.55	$80.12	$145.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $48.49 / $88.82	Professional		$29.46	$48.49	$88.82
United Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $73.09 / $111.76	Professional		$52.91	$73.09	$111.76