Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $208.93	Facility		$34.67	$89.13	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $144.54	Professional		$30.90	$48.98	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $40.74	Professional		$30.90	$32.36	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $79.43	Professional		$35.48	$48.98	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $42.66 / $56.23	Facility		$31.62	$42.66	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $52.48	Professional		$31.62	$38.02	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $45.71 / $52.48	Facility		$42.66	$45.71	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $70.79	Professional		$33.11	$45.71	$70.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $67.61	Professional		$32.36	$45.71	$67.61
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 $34.67 / $43.65 / $77.62	Professional		$34.67	$43.65	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $63.10	Professional		$28.84	$38.90	$63.10