Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $151.97 / $27,531.89	Facility		$55.76	$151.97	$27,531.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $55.57 / $72.88	Professional		$55.22	$55.57	$72.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $41.67 / $41.67	Professional		$41.67	$41.67	$41.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $89.47 / $138.93	Facility		$60.02	$89.47	$138.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $62.23 / $93.69	Professional		$55.57	$62.23	$93.69
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $131.69	Facility		$131.69	$131.69	$131.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $72.80	Professional		$55.57	$55.57	$72.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $55.57 / $82.01	Facility		$54.67	$55.57	$82.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $55.57 / $88.91	Professional		$54.67	$55.57	$88.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $55.57 / $59.91	Facility		$52.42	$55.57	$59.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $70.48	Professional		$55.57	$55.57	$70.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $63.93 / $156.28	Facility		$52.42	$63.93	$156.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $78.63	Professional		$55.57	$55.57	$78.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $61.23 / $74.18	Professional		$54.67	$61.23	$74.18
United Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $55.57 / $68.02	Professional		$55.46	$55.57	$68.02