Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $90.61 / $172.91	Facility		$51.31	$90.61	$172.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $97.51	Professional		$51.31	$51.31	$97.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $51.31	Professional		$19.23	$19.23	$51.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $24.62 / $70.56	Professional		$20.52	$24.62	$70.56
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $32.33 / $32.33	Facility		$32.33	$32.33	$32.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $66.70 / $87.23	Facility		$51.31	$66.70	$87.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $66.70 / $112.44	Professional		$51.31	$66.70	$112.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $64.70 / $345.91	Facility		$58.36	$64.70	$345.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $51.31 / $77.39	Professional		$25.92	$51.31	$77.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $94.80 / $191.65	Facility		$32.14	$94.80	$191.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $49.30 / $76.11	Professional		$25.72	$49.30	$76.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $46.17 / $63.49	Professional		$40.40	$46.17	$63.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $61.57	Professional		$30.79	$51.31	$61.57