Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.69 / $392.22 / $1,269.55	Facility		$39.69	$392.22	$1,269.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $59.66 / $258.39	Professional		$39.69	$59.66	$258.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $35.06 / $42.07	Professional		$35.06	$35.06	$42.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $109.43 / $236.20	Professional		$50.68	$109.43	$236.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.76 / $35.76 / $52.07	Facility		$35.76	$35.76	$52.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.57 / $92.18	Professional		$38.57	$38.57	$92.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $78.72 / $208.48	Professional		$43.83	$78.72	$208.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $161.60 / $1,974.56	Facility		$79.68	$161.60	$1,974.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $80.63 / $208.48	Professional		$44.71	$80.63	$208.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $40.43 / $53.95	Professional		$30.24	$40.43	$53.95
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $4,132.00	Facility		$444.00	$979.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $155.32 / $239.45	Professional		$52.54	$155.32	$239.45