Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $65.80 / $113.62	Facility		$45.91	$65.80	$113.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $50.00 / $147.19	Professional		$37.60	$50.00	$147.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $42.82 / $42.82	Professional		$42.82	$42.82	$42.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $104.67 / $290.75	Facility		$67.09	$104.67	$290.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $45.62 / $78.98	Professional		$45.62	$45.62	$78.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $21.51 / $34.42	Facility		$21.51	$21.51	$34.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $21.51 / $29.04	Professional		$21.51	$21.51	$29.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $75.14	Professional		$50.10	$50.10	$75.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $15.48 / $91.99	Facility		$13.27	$15.48	$91.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $75.14	Professional		$50.10	$50.10	$75.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $51.44 / $58.91	Professional		$42.49	$51.44	$58.91