Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $117.49	Facility		$34.67	$42.66	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $57.54	Professional		$33.88	$38.90	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $70.79 / $107.15	Facility		$67.61	$70.79	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $91.20	Professional		$42.66	$52.48	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $87.10	Facility		$33.11	$66.07	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $89.13	Professional		$43.65	$83.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $154.88	Facility		$44.67	$54.95	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $54.95	Professional		$38.02	$38.02	$54.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $54.95 / $154.88	Facility		$44.67	$54.95	$154.88
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 $50.12 / $75.86 / $97.72	Professional		$50.12	$75.86	$97.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $177.83	Professional		$75.86	$93.33	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $52.48	Facility		$34.67	$44.67	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $66.07	Professional		$21.38	$34.67	$66.07