Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $223.87 / $257.04	Facility		$69.18	$223.87	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $109.65	Professional		$67.61	$79.43	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $154.88	Professional		$64.57	$93.33	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $58.88	Facility		$51.29	$51.29	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $165.96	Professional		$44.67	$87.10	$165.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $144.54	Professional		$43.65	$85.11	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $134.90	Professional		$64.57	$89.13	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $162.18	Professional		$63.10	$89.13	$162.18