Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $101.70 / $164.64	Facility		$37.72	$101.70	$164.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $33.95 / $37.72	Professional		$30.18	$33.95	$37.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $26.20 / $26.20	Professional		$22.64	$26.20	$26.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $41.50 / $66.77	Facility		$33.32	$41.50	$66.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $18.63 / $40.74	Professional		$18.63	$18.63	$40.74
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $23.77 / $23.77	Facility		$23.77	$23.77	$23.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $39.61 / $50.94	Facility		$30.28	$39.61	$50.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $37.93 / $62.14	Professional		$24.52	$37.93	$62.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $38.84 / $140.87	Facility		$24.52	$38.84	$140.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $30.28 / $54.92	Professional		$19.14	$30.28	$54.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $42.14 / $145.76	Facility		$24.52	$42.14	$145.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.97 / $74.00	Professional		$3.50	$23.97	$74.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $31.13 / $45.28	Professional		$28.30	$31.13	$45.28
United Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $45.28 / $45.28	Facility		$45.28	$45.28	$45.28
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.64 / $52.70	Professional		$15.85	$22.64	$52.70