Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $53.10 / $106.20	Facility		$35.40	$53.10	$106.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $32.22 / $44.25	Professional		$22.12	$32.22	$44.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $27.66 / $27.66	Professional		$26.55	$27.66	$27.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $48.68 / $78.31	Facility		$39.07	$48.68	$78.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $17.70 / $35.32	Professional		$17.70	$17.70	$35.32
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $27.88 / $27.88	Facility		$27.88	$27.88	$27.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.30 / $44.25 / $59.74	Facility		$28.30	$44.25	$59.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $57.53 / $59.74	Professional		$37.61	$57.53	$59.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $45.56 / $150.99	Facility		$28.76	$45.56	$150.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $20.30 / $63.50	Professional		$8.19	$20.30	$63.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $45.56 / $171.39	Facility		$21.78	$45.56	$171.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $13.79 / $28.76	Professional		$8.19	$13.79	$28.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $36.50 / $53.10	Professional		$33.19	$36.50	$53.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $19.91 / $57.97	Professional		$7.48	$19.91	$57.97