Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $91.04 / $348.19	Facility		$43.22	$91.04	$348.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $37.77 / $47.81	Professional		$34.57	$37.77	$47.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $33.20 / $74.11	Professional		$23.91	$33.20	$74.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $52.59 / $84.61	Facility		$42.22	$52.59	$84.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $75.37	Professional		$23.61	$23.61	$75.37
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Facility		$48.96	$48.96	$48.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $50.20 / $78.89	Facility		$35.86	$50.20	$78.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $62.15 / $64.54	Professional		$40.64	$62.15	$64.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $49.23 / $207.65	Facility		$31.08	$49.23	$207.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $37.75 / $69.59	Professional		$24.27	$37.75	$69.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $60.30 / $590.70	Facility		$31.08	$60.30	$590.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $35.94 / $81.00	Professional		$26.66	$35.94	$81.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $39.44 / $57.37	Professional		$35.86	$39.44	$57.37
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $28.69 / $63.22	Professional		$20.07	$28.69	$63.22