Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $51.81 / $131.00	Facility		$51.81	$51.81	$131.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $51.81 / $76.11	Professional		$27.60	$51.81	$76.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $88.85 / $88.85	Professional		$46.65	$88.85	$88.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $94.80 / $152.38	Facility		$80.84	$94.80	$152.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $48.75 / $115.50	Professional		$39.00	$48.75	$115.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Professional		$88.85	$88.85	$88.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $97.74 / $131.96	Facility		$75.52	$97.74	$131.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $106.62 / $168.31	Professional		$62.20	$106.62	$168.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $104.12	Facility		$59.47	$59.47	$104.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $69.80	Professional		$43.41	$43.41	$69.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $59.47	Professional		$43.41	$59.47	$59.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $52.59 / $68.94	Professional		$38.24	$52.59	$68.94
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $43.93 / $68.29	Professional		$29.55	$43.93	$68.29