Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $109.65 / $162.18	Facility		$52.48	$109.65	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $134.90	Professional		$47.86	$60.26	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $117.49	Facility		$58.88	$67.61	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $83.18	Professional		$31.62	$39.81	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $74.13	Facility		$36.31	$36.31	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $245.47	Facility		$41.69	$41.69	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $97.72	Professional		$32.36	$42.66	$97.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $245.47	Facility		$41.69	$66.07	$245.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $112.20	Professional		$32.36	$42.66	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $79.43	Professional		$35.48	$53.70	$79.43
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $147.91	Professional		$41.69	$67.61	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $44.67 / $64.57	Facility		$23.44	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $77.62	Professional		$26.92	$38.90	$77.62