Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.14 / $55.14 / $55.14	Facility		$55.14	$55.14	$55.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.14 / $100.98	Professional		$55.08	$55.14	$100.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $87.14 / $87.14	Professional		$87.14	$87.14	$87.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.66 / $129.08 / $206.52	Facility		$93.66	$129.08	$206.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $91.09 / $190.38	Professional		$80.17	$91.09	$190.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $128.24 / $129.03	Professional		$118.88	$128.24	$129.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $81.31 / $129.03	Facility		$9.81	$81.31	$129.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $77.45 / $159.43	Professional		$8.77	$77.45	$159.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $129.94	Facility		$65.95	$65.95	$129.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $114.38	Professional		$56.07	$65.95	$114.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $87.12	Facility		$65.95	$65.95	$87.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $65.95 / $86.57	Professional		$65.95	$65.95	$86.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $107.06 / $154.39	Professional		$85.64	$107.06	$154.39
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $61.18 / $90.02	Professional		$35.97	$61.18	$90.02