Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $257.04	Facility		$64.57	$69.18	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $109.65	Professional		$39.81	$72.44	$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 $38.90 / $67.61 / $117.49	Professional		$38.90	$67.61	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $45.71	Facility		$39.81	$40.74	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $70.79 / $131.83	Facility		$69.18	$70.79	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $147.91	Professional		$43.65	$79.43	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $134.90	Professional		$42.66	$75.86	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $114.82	Professional		$38.90	$69.18	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $134.90	Professional		$39.81	$72.44	$134.90