Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $93.83 / $223.20	Facility		$36.04	$93.83	$223.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.07 / $42.50	Professional		$22.02	$28.07	$42.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $18.42 / $35.09	Professional		$17.55	$18.42	$35.09
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 $19.14 / $23.93 / $55.84	Professional		$19.14	$23.93	$55.84
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 / $30.70 / $67.72	Professional		$17.82	$30.70	$67.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $63.80 / $171.44	Facility		$25.34	$63.80	$171.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $31.72 / $84.71	Professional		$15.91	$31.72	$84.71
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 Facility Modifier Low / Median / High Price $42.11 / $42.11 / $42.11	Facility		$42.11	$42.11	$42.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $51.13	Professional		$14.74	$21.05	$51.13