Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $91.13 / $189.86	Facility		$35.09	$91.13	$189.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.59 / $50.65	Professional		$22.81	$30.59	$50.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $54.00	Professional		$17.55	$17.55	$54.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.90 / $62.10	Facility		$30.98	$37.90	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $22.92 / $51.23	Professional		$19.10	$22.92	$51.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $22.11 / $22.11	Facility		$22.11	$22.11	$22.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $40.35 / $52.64	Facility		$35.09	$40.35	$52.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $76.39	Professional		$35.09	$45.62	$76.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $39.92 / $200.27	Facility		$36.11	$39.92	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $67.72	Professional		$17.82	$31.72	$67.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $84.76 / $185.92	Facility		$26.67	$84.76	$185.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $22.50 / $67.72	Professional		$11.70	$22.50	$67.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $31.58 / $43.42	Professional		$27.63	$31.58	$43.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $51.13	Professional		$14.74	$21.05	$51.13