Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $147.69 / $1,272.00	Facility		$46.28	$147.69	$1,272.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $44.46 / $132.38	Professional		$39.22	$44.46	$132.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $53.93 / $86.77	Facility		$43.29	$53.93	$86.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $24.21 / $52.95	Professional		$24.21	$24.21	$52.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $49.03 / $66.19	Facility		$37.31	$49.03	$66.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $63.74 / $66.19	Professional		$41.68	$63.74	$66.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $50.48 / $315.48	Facility		$31.87	$50.48	$315.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $39.34 / $71.36	Professional		$24.93	$39.34	$71.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $50.48 / $330.56	Facility		$31.87	$50.48	$330.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $31.87 / $82.18	Professional		$24.93	$31.87	$82.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $40.44 / $58.83	Professional		$26.97	$40.44	$58.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $29.42 / $68.48	Professional		$20.59	$29.42	$68.48