Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.86 / $58.86 / $168.00	Facility		$58.86	$58.86	$168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $58.86 / $62.58	Professional		$47.00	$58.86	$62.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $65.29 / $65.29	Professional		$65.29	$65.29	$65.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $120.54 / $312.30	Facility		$102.90	$120.54	$312.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $53.46 / $142.44	Professional		$51.22	$53.46	$142.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $93.14 / $98.62	Professional		$93.14	$93.14	$98.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.19 / $109.58 / $147.93	Facility		$82.19	$109.58	$147.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $99.19 / $234.63	Professional		$71.64	$99.19	$234.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $129.16	Facility		$62.81	$62.81	$129.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $80.23	Professional		$45.85	$45.85	$80.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $62.81	Professional		$45.85	$62.81	$62.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $63.91 / $83.78	Professional		$46.48	$63.91	$83.78
United Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $49.41 / $69.56	Professional		$32.84	$49.41	$69.56