Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $156.47 / $386.14	Facility		$59.89	$156.47	$386.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $54.11 / $71.12	Professional		$52.40	$54.11	$71.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $51.99 / $116.03	Professional		$37.43	$51.99	$116.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $82.35 / $132.47	Facility		$66.09	$82.35	$132.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $74.86	Professional		$36.97	$36.97	$74.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $47.16 / $47.16	Facility		$47.16	$47.16	$47.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $78.59 / $101.06	Facility		$56.15	$78.59	$101.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $74.88 / $123.29	Professional		$48.66	$74.88	$123.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $77.08 / $283.87	Facility		$48.66	$77.08	$283.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $60.07 / $108.97	Professional		$37.97	$60.07	$108.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $83.88 / $482.09	Facility		$48.66	$83.88	$482.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $48.66 / $133.30	Professional		$38.11	$48.66	$133.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $61.76 / $89.84	Professional		$56.15	$61.76	$89.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $44.92 / $101.97	Professional		$31.44	$44.92	$101.97