Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $199.53	Facility		$64.57	$95.50	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $165.96	Professional		$58.88	$74.13	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $52.48 / $63.10	Professional		$24.55	$52.48	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $407.38	Facility		$67.61	$134.90	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $117.49	Professional		$64.57	$70.79	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $107.15	Professional		$70.79	$70.79	$107.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $70.79 / $199.53	Facility		$15.14	$70.79	$199.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $107.15	Professional		$70.79	$70.79	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $158.49	Professional		$72.44	$77.62	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $79.43	Professional		$63.10	$75.86	$79.43