Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $89.06 / $134.52	Facility		$34.94	$89.06	$134.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $36.35 / $63.05	Professional		$34.94	$36.35	$63.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $26.20	Professional		$26.20	$26.20	$26.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.56 / $47.16 / $77.28	Facility		$38.56	$47.16	$77.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $23.77 / $61.41	Professional		$19.80	$23.77	$61.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $54.59 / $65.51	Facility		$43.67	$54.59	$65.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $58.95 / $104.81	Professional		$56.77	$58.95	$104.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $49.68 / $249.26	Facility		$44.80	$49.68	$249.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $38.15 / $84.48	Professional		$20.30	$38.15	$84.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $49.68 / $249.26	Facility		$44.80	$49.68	$249.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $31.51 / $95.21	Professional		$20.30	$31.51	$95.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $39.29 / $54.03	Professional		$34.38	$39.29	$54.03
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $26.20 / $74.23	Professional		$18.34	$26.20	$74.23