Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.31 / $71.08 / $422.40	Facility		$53.31	$71.08	$422.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $62.00 / $88.71	Professional		$48.64	$62.00	$88.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $46.72 / $56.65	Professional		$42.71	$46.72	$56.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $69.56 / $108.81	Professional		$48.02	$69.56	$108.81
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $71.26 / $80.17	Professional		$47.92	$71.26	$80.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.92 / $63.89 / $94.89	Facility		$47.92	$63.89	$94.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $85.50 / $104.78	Professional		$78.39	$85.50	$104.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $110.83 / $110.83	Facility		$110.83	$110.83	$110.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $69.00 / $134.18	Professional		$49.00	$69.00	$134.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $110.83 / $110.83	Facility		$110.83	$110.83	$110.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $67.53 / $123.21	Professional		$49.00	$67.53	$123.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $102.29 / $148.80	Professional		$78.68	$102.29	$148.80
Optum Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $59.63 / $84.39	Professional		$5.00	$59.63	$84.39
United Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $74.22 / $143.33	Professional		$11.52	$74.22	$143.33