Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $95.62 / $156.66	Facility		$40.69	$95.62	$156.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $37.04 / $50.86	Professional		$25.43	$37.04	$50.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $55.95 / $90.01	Facility		$44.91	$55.95	$90.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $20.34 / $50.86	Professional		$9.02	$20.34	$50.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $53.40 / $68.66	Facility		$38.15	$53.40	$68.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $43.23 / $68.66	Professional		$33.06	$43.23	$68.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $52.37 / $209.96	Facility		$33.06	$52.37	$209.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $31.77 / $72.79	Professional		$21.33	$31.77	$72.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $52.37 / $209.96	Facility		$29.05	$52.37	$209.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $23.75 / $39.75	Professional		$21.17	$23.75	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $41.96 / $61.04	Professional		$27.97	$41.96	$61.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $28.00 / $66.63	Professional		$11.35	$28.00	$66.63