Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $146.63 / $376.20	Facility		$65.34	$146.63	$376.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $54.02 / $68.18	Professional		$49.58	$54.02	$68.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $41.32 / $43.04	Professional		$30.99	$41.32	$43.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $68.18 / $109.69	Facility		$54.73	$68.18	$109.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $30.61 / $76.06	Professional		$30.61	$30.61	$76.06
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Facility		$39.04	$39.04	$39.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $72.39 / $72.39	Professional		$72.39	$72.39	$72.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $65.08 / $83.67	Facility		$49.75	$65.08	$83.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $62.24 / $102.08	Professional		$40.29	$62.24	$102.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $63.82 / $139.81	Facility		$40.29	$63.82	$139.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $49.74 / $90.22	Professional		$31.54	$49.74	$90.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $82.95 / $208.26	Facility		$31.87	$82.95	$208.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $37.36 / $109.02	Professional		$22.31	$37.36	$109.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $51.13 / $74.38	Professional		$46.49	$51.13	$74.38
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $38.01 / $81.86	Professional		$26.03	$38.01	$81.86