Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $97.72 / $5,754.40	Facility		$46.77	$97.72	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $3,019.95	Professional		$44.67	$46.77	$3,019.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $72.44 / $162.18	Facility		$48.98	$72.44	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $79.43	Professional		$45.71	$50.12	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $45.71	Facility		$42.66	$42.66	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $74.13	Professional		$45.71	$45.71	$74.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $338.84	Facility		$33.88	$42.66	$338.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $74.13	Professional		$45.71	$45.71	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $64.57	Professional		$44.67	$56.23	$64.57
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $97.72	Professional		$41.69	$70.79	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $45.71 / $45.71	Facility		$44.67	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $48.98	Professional		$43.65	$45.71	$48.98