Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $74.15 / $124.89	Facility		$37.31	$74.15	$124.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $32.44 / $58.54	Professional		$30.59	$32.44	$58.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $24.33 / $24.33	Professional		$24.33	$24.33	$24.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $43.79 / $71.76	Facility		$35.81	$43.79	$71.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.96 / $52.71	Professional		$17.32	$20.96	$52.71
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $25.55	Facility		$25.55	$25.55	$25.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $46.63 / $60.83	Facility		$40.54	$46.63	$60.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $52.72 / $88.39	Professional		$40.54	$52.72	$88.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $46.13 / $231.44	Facility		$41.73	$46.13	$231.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $35.58 / $78.44	Professional		$18.48	$35.58	$78.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $69.06 / $221.84	Facility		$32.54	$69.06	$221.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.98 / $78.44	Professional		$18.48	$26.98	$78.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $36.49 / $50.17	Professional		$31.93	$36.49	$50.17
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $24.33 / $53.12	Professional		$17.03	$24.33	$53.12