Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $114.82 / $223.87	Facility		$56.23	$114.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $125.89	Professional		$52.48	$61.66	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $102.33	Professional		$33.88	$46.77	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $123.03	Facility		$61.66	$70.79	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $85.11	Professional		$33.11	$40.74	$85.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $70.79 / $85.11	Facility		$45.71	$70.79	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $91.20	Professional		$43.65	$67.61	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $223.87	Facility		$43.65	$43.65	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $125.89	Professional		$33.88	$58.88	$125.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $69.18 / $257.04	Facility		$28.18	$69.18	$257.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $107.15	Professional		$23.99	$42.66	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $83.18	Professional		$45.71	$54.95	$83.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $134.90	Professional		$46.77	$74.13	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $45.71 / $67.61	Facility		$23.99	$45.71	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $93.33	Professional		$28.18	$40.74	$93.33