Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.44 / $101.73 / $243.75	Facility		$52.44	$101.73	$243.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $45.42 / $48.32	Professional		$33.06	$45.42	$48.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $35.32 / $35.32	Professional		$30.52	$35.32	$35.32
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 $25.11 / $25.11 / $54.92	Professional		$25.11	$25.11	$54.92
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $32.04 / $32.04	Facility		$32.04	$32.04	$32.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $40.69 / $40.69	Professional		$40.69	$40.69	$40.69
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 / $50.89 / $83.77	Professional		$33.06	$50.89	$83.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $52.37 / $170.31	Facility		$33.06	$52.37	$170.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $40.81 / $74.03	Professional		$25.92	$40.81	$74.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $53.23 / $193.41	Facility		$28.54	$53.23	$193.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $26.21 / $92.22	Professional		$16.28	$26.21	$92.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $41.96 / $61.04	Professional		$38.15	$41.96	$61.04
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.52 / $71.05	Professional		$21.36	$30.52	$71.05