Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.76 / $33.76 / $149.88	Facility		$33.76	$33.76	$149.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $37.10 / $62.39	Professional		$33.76	$37.10	$62.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $78.76 / $78.76	Professional		$78.76	$78.76	$78.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $69.55 / $180.21	Facility		$59.37	$69.55	$180.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $58.13 / $104.32	Professional		$43.07	$58.13	$104.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $63.32 / $88.52	Facility		$47.42	$63.32	$88.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $63.23 / $135.38	Professional		$44.26	$63.23	$135.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $96.81	Facility		$67.20	$67.20	$96.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $84.75	Professional		$49.06	$49.06	$84.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $77.70	Facility		$67.20	$67.20	$77.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $67.20	Professional		$49.06	$67.20	$67.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $60.59 / $79.44	Professional		$44.07	$60.59	$79.44
United Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $124.56	Facility		$105.88	$105.88	$124.56
United Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $51.37 / $72.48	Professional		$34.54	$51.37	$72.48