Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $59.14 / $149.00	Facility		$37.43	$59.14	$149.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $55.42 / $99.00	Professional		$39.65	$55.42	$99.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $57.54 / $58.35	Professional		$49.40	$57.54	$58.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $63.93 / $98.88	Professional		$46.86	$63.93	$98.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.96 / $52.59 / $66.68	Facility		$43.96	$52.59	$66.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $75.56 / $118.00	Professional		$58.12	$75.56	$118.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $68.06 / $109.45	Professional		$47.58	$68.06	$109.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $69.75 / $105.34	Professional		$49.02	$69.75	$105.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $61.20 / $92.60	Professional		$39.54	$61.20	$92.60
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $71.94 / $111.12	Professional		$52.71	$71.94	$111.12