Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.46 / $49.54	Professional		$34.40	$34.46	$49.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $59.91 / $59.91	Professional		$59.91	$59.91	$59.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $80.36 / $128.58	Facility		$58.31	$80.36	$128.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $50.98 / $83.86	Professional		$30.71	$50.98	$83.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $67.97 / $71.55	Professional		$66.56	$67.97	$71.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $47.94 / $76.43	Facility		$5.50	$47.94	$76.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $45.86 / $202.50	Professional		$5.49	$45.86	$202.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $65.20	Facility		$43.15	$43.15	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.15 / $74.63	Professional		$36.68	$43.15	$74.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $56.64	Facility		$43.15	$43.15	$56.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $56.64	Professional		$43.15	$43.15	$56.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $216.31 / $375.00	Professional		$120.00	$216.31	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $32.60 / $51.62	Professional		$21.46	$32.60	$51.62