Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $63.16 / $195.91	Facility		$37.95	$63.16	$195.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $64.95 / $103.41	Professional		$49.95	$64.95	$103.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $60.57 / $77.51	Professional		$49.92	$60.57	$77.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $60.60 / $98.18	Professional		$21.02	$60.60	$98.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $71.26 / $92.64	Professional		$58.79	$71.26	$92.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $63.60 / $85.86	Facility		$47.70	$63.60	$85.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $81.77 / $99.76	Professional		$58.79	$81.77	$99.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $71.00 / $125.40	Professional		$38.00	$71.00	$125.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $73.45 / $111.98	Professional		$38.00	$73.45	$111.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $102.82 / $148.80	Professional		$78.68	$102.82	$148.80
Optum Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $74.26 / $111.68	Professional		$40.00	$74.26	$111.68
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $76.03 / $147.43	Professional		$40.00	$76.03	$147.43