Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $53.70 / $104.71	Facility		$28.18	$53.70	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $41.69	Professional		$20.42	$28.18	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $17.38	Professional		$14.79	$17.38	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $37.15 / $64.57	Facility		$32.36	$37.15	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $47.86	Professional		$17.38	$21.88	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $40.74 / $48.98	Facility		$28.18	$40.74	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $47.86	Professional		$35.48	$41.69	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $131.83	Facility		$22.91	$22.91	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $83.18	Professional		$17.78	$31.62	$83.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $131.83	Facility		$31.62	$39.81	$131.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $66.07	Professional		$12.59	$22.91	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $43.65	Professional		$26.30	$31.62	$43.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $81.28	Professional		$29.51	$43.65	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $35.48	Facility		$12.59	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $48.98	Professional		$14.79	$20.89	$48.98