Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $90.47 / $159.04	Facility		$41.31	$90.47	$159.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $49.85 / $74.54	Professional		$27.37	$49.85	$74.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $35.86 / $35.86	Professional		$35.86	$35.86	$35.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $56.80 / $91.39	Facility		$45.60	$56.80	$91.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $55.77	Professional		$25.50	$25.50	$55.77
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $32.53 / $32.53	Facility		$32.53	$32.53	$32.53
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $47.58	Professional		$41.31	$41.31	$47.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $51.64 / $69.70	Facility		$34.45	$51.64	$69.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $67.13 / $69.70	Professional		$43.89	$67.13	$69.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $53.17 / $195.77	Facility		$33.57	$53.17	$195.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $40.70 / $75.15	Professional		$25.86	$40.70	$75.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $53.17 / $199.73	Facility		$33.40	$53.17	$199.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $33.04 / $68.62	Professional		$25.58	$33.04	$68.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $42.60 / $61.96	Professional		$38.72	$42.60	$61.96
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $30.98 / $72.16	Professional		$21.69	$30.98	$72.16