Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $55.50 / $55.50	Facility		$55.50	$55.50	$55.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $55.50 / $100.58	Professional		$45.67	$55.50	$100.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $63.31 / $63.31	Professional		$63.31	$63.31	$63.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.27 / $129.93 / $207.88	Facility		$94.27	$129.93	$207.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $101.50 / $172.28	Professional		$83.58	$101.50	$172.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $137.05 / $143.78	Professional		$126.62	$137.05	$143.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $77.95 / $143.78	Facility		$10.30	$77.95	$143.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $77.95 / $166.93	Professional		$9.35	$77.95	$166.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $144.80	Facility		$66.45	$66.45	$144.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $116.63	Professional		$56.49	$66.45	$116.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $92.30	Facility		$66.45	$66.45	$92.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $66.45 / $87.23	Professional		$66.45	$66.45	$87.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $119.28 / $172.01	Professional		$95.42	$119.28	$172.01
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $66.03 / $101.49	Professional		$37.36	$66.03	$101.49