Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $52.69 / $203.44	Facility		$39.52	$52.69	$203.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $67.05 / $130.90	Professional		$40.72	$67.05	$130.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $69.34 / $69.34	Professional		$58.95	$69.34	$69.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $61.09 / $102.98	Professional		$44.57	$61.09	$102.98
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $83.15 / $83.15	Professional		$83.15	$83.15	$83.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.24 / $61.32 / $77.61	Facility		$51.24	$61.32	$77.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $90.16 / $140.47	Professional		$69.34	$90.16	$140.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $86.69 / $142.01	Professional		$60.80	$86.69	$142.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $303.80	Facility		$73.68	$73.68	$303.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $86.71 / $142.01	Professional		$62.36	$86.71	$142.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $63.11 / $94.79	Professional		$43.75	$63.11	$94.79
Optum Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $99.17 / $145.44	Professional		$55.00	$99.17	$145.44
United Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $98.86 / $155.88	Professional		$70.86	$98.86	$155.88