Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $223.87	Professional		$57.54	$81.28	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $169.82	Professional		$40.74	$53.70	$169.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $154.88	Professional		$89.13	$89.13	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $245.47	Facility		$61.66	$89.13	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $186.21	Professional		$77.62	$93.33	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $162.18	Professional		$38.90	$77.62	$162.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $97.72 / $208.93	Professional		$38.90	$97.72	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $177.83	Professional		$81.28	$107.15	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $144.54	Professional		$52.48	$87.10	$144.54