Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $98.00 / $193.05	Facility		$44.48	$98.00	$193.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $55.29 / $133.93	Professional		$38.67	$55.29	$133.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $39.71 / $39.81	Professional		$39.71	$39.71	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.72 / $93.16 / $258.77	Facility		$59.72	$93.16	$258.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $49.73 / $83.99	Professional		$49.73	$49.73	$83.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.71 / $39.81 / $59.81	Facility		$39.71	$39.81	$59.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $39.81 / $53.74	Professional		$39.71	$39.81	$53.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $37.56 / $54.60	Facility		$37.56	$37.56	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $83.51	Professional		$54.60	$54.60	$83.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $85.22 / $172.42	Facility		$34.63	$85.22	$172.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $54.60 / $90.80	Professional		$38.71	$54.60	$90.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $57.57 / $82.82	Professional		$43.79	$57.57	$82.82
United Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $55.43 / $65.09	Professional		$46.60	$55.43	$65.09