Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $123.03	Facility		$50.12	$67.61	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $173.78	Professional		$52.48	$100.00	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $125.89	Professional		$44.67	$79.43	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $131.83	Professional		$67.61	$89.13	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $114.82	Facility		$66.07	$85.11	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $158.49	Professional		$69.18	$91.20	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $95.50 / $109.65	Facility		$5.01	$95.50	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $141.25	Professional		$66.07	$91.20	$141.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $147.91	Professional		$66.07	$93.33	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $77.62	Professional		$33.11	$58.88	$77.62
Optum Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $97.72	Professional		$67.61	$72.44	$97.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $158.49	Professional		$72.44	$89.13	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $128.82	Professional		$61.66	$81.28	$128.82