Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $168.48 / $352.00	Facility		$66.27	$168.48	$352.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $62.56 / $101.34	Professional		$49.62	$62.56	$101.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $42.12 / $70.20	Professional		$35.10	$42.12	$70.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $75.81 / $124.23	Facility		$61.99	$75.81	$124.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $40.20 / $79.89	Professional		$34.65	$40.20	$79.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $80.73 / $105.30	Facility		$70.20	$80.73	$105.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.26 / $153.46	Professional		$70.20	$91.26	$153.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $88.52 / $466.76	Facility		$72.23	$88.52	$466.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $61.40 / $136.10	Professional		$35.65	$61.40	$136.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $158.35 / $400.63	Facility		$72.23	$158.35	$400.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $55.58 / $169.42	Professional		$35.65	$55.58	$169.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $63.18 / $86.87	Professional		$55.28	$63.18	$86.87
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $102.28	Professional		$29.48	$42.12	$102.28