Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.69 / $45.69 / $45.69	Facility		$45.69	$45.69	$45.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $48.83 / $89.52	Professional		$44.92	$48.83	$89.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $71.62 / $95.49	Professional		$71.62	$71.62	$95.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $84.85 / $177.34	Professional		$69.14	$84.85	$177.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $114.80 / $120.20	Professional		$106.09	$114.80	$120.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.56 / $70.70 / $120.20	Facility		$8.56	$70.70	$120.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $65.75 / $137.41	Professional		$8.16	$65.75	$137.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $98.99	Facility		$57.45	$57.45	$98.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $57.45 / $107.15	Professional		$48.83	$57.45	$107.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $57.45 / $81.23	Facility		$54.86	$57.45	$81.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $57.45 / $76.92	Professional		$51.72	$57.45	$76.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $99.72 / $143.80	Professional		$79.77	$99.72	$143.80
United Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $55.17 / $83.85	Professional		$30.91	$55.17	$83.85