Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $34.21 / $34.21	Facility		$34.21	$34.21	$34.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $43.96 / $83.06	Professional		$34.21	$43.96	$83.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $88.32 / $88.32	Professional		$88.32	$88.32	$88.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $83.06 / $157.99	Professional		$58.14	$83.06	$157.99
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $93.82 / $102.36 / $117.70	Professional		$93.82	$102.36	$117.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $51.55 / $117.70	Facility		$6.41	$51.55	$117.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $54.45 / $123.59	Professional		$6.41	$54.45	$123.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $139.43	Facility		$43.29	$43.29	$139.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $43.29 / $92.34	Professional		$36.79	$43.29	$92.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $74.45	Facility		$43.29	$43.29	$74.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $43.29 / $57.95	Professional		$36.79	$43.29	$57.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $97.62 / $140.77	Professional		$78.09	$97.62	$140.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $51.31 / $82.09	Professional		$25.44	$51.31	$82.09