Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $131.83 / $323.59	Facility		$58.88	$131.83	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $147.91	Professional		$50.12	$63.10	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $109.65	Professional		$35.48	$41.69	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $128.82	Facility		$64.57	$74.13	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $74.13	Professional		$34.67	$38.90	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $97.72	Facility		$56.23	$81.28	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $95.50	Professional		$70.79	$85.11	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $446.68	Facility		$45.71	$45.71	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $165.96	Professional		$35.48	$63.10	$165.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $186.21 / $389.05	Facility		$70.79	$186.21	$389.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $263.03	Professional		$33.88	$63.10	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $87.10	Professional		$52.48	$63.10	$87.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $162.18	Professional		$60.26	$87.10	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $63.10 / $70.79	Facility		$25.12	$63.10	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $97.72	Professional		$29.51	$41.69	$97.72