Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $84.11 / $102.57	Facility		$40.72	$84.11	$102.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $53.63 / $132.88	Professional		$38.42	$53.63	$132.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $37.44 / $37.44	Professional		$37.44	$37.44	$37.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $91.56 / $254.35	Facility		$58.70	$91.56	$254.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $39.63 / $68.62	Professional		$39.63	$39.63	$68.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $25.34 / $39.49	Facility		$25.34	$25.34	$39.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $25.34 / $60.82	Professional		$25.34	$25.34	$60.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Facility		$43.83	$43.83	$43.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $66.51	Professional		$43.83	$43.83	$66.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $39.36 / $126.36	Facility		$9.46	$39.36	$126.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $72.22	Professional		$43.83	$43.83	$72.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $57.06 / $85.59	Professional		$44.83	$57.06	$85.59
United Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $42.66 / $51.53	Professional		$37.58	$42.66	$51.53