Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $167.98 / $440.86	Facility		$54.25	$167.98	$440.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $54.82 / $111.91	Professional		$38.19	$54.82	$111.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $47.87	Professional		$41.64	$41.64	$47.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $91.23 / $154.63	Professional		$57.57	$91.23	$154.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $50.42 / $99.80	Facility		$38.10	$50.42	$99.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $58.90 / $71.09	Professional		$57.94	$58.90	$71.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $64.30 / $64.30	Facility		$64.30	$64.30	$64.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $73.95 / $159.82	Professional		$43.61	$73.95	$159.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $64.30 / $285.97	Facility		$64.30	$64.30	$285.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $71.27 / $154.66	Professional		$43.70	$71.27	$154.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $69.26 / $100.35	Professional		$52.56	$69.26	$100.35
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $85.25 / $148.62	Professional		$51.08	$85.25	$148.62