Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $213.80	Facility		$66.07	$87.10	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $257.04	Professional		$63.10	$79.43	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $75.86	Professional		$61.66	$66.07	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $97.72	Facility		$83.18	$95.50	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $158.49	Professional		$79.43	$100.00	$158.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $100.00	Professional		$93.33	$93.33	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $47.86 / $77.62	Facility		$24.55	$47.86	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $120.23	Facility		$61.66	$87.10	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $154.88	Professional		$67.61	$97.72	$154.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $83.18 / $354.81	Facility		$53.70	$83.18	$354.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $154.88	Professional		$64.57	$95.50	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $39.81	Professional		$32.36	$33.11	$39.81
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $165.96	Professional		$74.13	$93.33	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $81.28	Facility		$36.31	$45.71	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $134.90	Professional		$63.10	$83.18	$134.90