Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $77.62 / $234.42	Facility		$44.67	$77.62	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $109.65	Professional		$32.36	$60.26	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $100.00	Professional		$39.81	$56.23	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $91.20	Professional		$26.92	$36.31	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $53.70 / $85.11	Facility		$35.48	$53.70	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $95.50	Professional		$46.77	$64.57	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $44.67	Facility		$40.74	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $47.86	Facility		$40.74	$44.67	$47.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $16.98	Professional		$8.32	$11.75	$16.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $147.91	Professional		$72.44	$81.28	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $50.12	Facility		$25.12	$33.88	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $48.98	Professional		$21.88	$33.88	$48.98