Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $129.06 / $526.50	Facility		$56.70	$129.06	$526.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $38.54 / $115.48	Professional		$34.27	$38.54	$115.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.70 / $25.70	Professional		$21.42	$25.70	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $46.27 / $75.81	Facility		$37.83	$46.27	$75.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $26.43 / $62.54	Professional		$21.15	$26.43	$62.54
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $26.99	Facility		$26.99	$26.99	$26.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $49.27 / $64.26	Facility		$42.84	$49.27	$64.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $55.69 / $93.36	Professional		$42.84	$55.69	$93.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.09 / $54.03 / $244.52	Facility		$44.09	$54.03	$244.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $37.59 / $83.14	Professional		$21.79	$37.59	$83.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $86.84 / $288.86	Facility		$41.78	$86.84	$288.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $38.63 / $101.43	Professional		$21.79	$38.63	$101.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.73 / $38.55 / $53.01	Professional		$33.73	$38.55	$53.01
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $65.04	Professional		$17.98	$25.70	$65.04