Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $117.45 / $242.94	Facility		$46.98	$117.45	$242.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $42.28 / $46.98	Professional		$37.58	$42.28	$46.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $32.63 / $72.81	Professional		$28.19	$32.63	$72.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $51.68 / $83.14	Facility		$41.48	$51.68	$83.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $50.73	Professional		$23.20	$23.20	$50.73
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $49.33 / $63.42	Facility		$37.71	$49.33	$63.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $47.00 / $77.37	Professional		$30.54	$47.00	$77.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $48.38 / $157.38	Facility		$30.54	$48.38	$157.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $37.71 / $68.38	Professional		$23.94	$37.71	$68.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $53.45 / $179.23	Facility		$30.72	$53.45	$179.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $31.29 / $93.00	Professional		$13.91	$31.29	$93.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $38.76 / $56.38	Professional		$35.24	$38.76	$56.38
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.81 / $65.65	Professional		$19.73	$28.81	$65.65