Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $66.07 / $107.15	Facility		$61.66	$66.07	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $77.62	Professional		$39.81	$52.48	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $245.47	Facility		$114.82	$123.03	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $147.91	Professional		$51.29	$66.07	$147.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $104.71	Professional		$95.50	$95.50	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $83.18 / $134.90	Facility		$56.23	$83.18	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $151.36	Professional		$72.44	$100.00	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $70.79	Professional		$51.29	$51.29	$70.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $151.36	Facility		$70.79	$70.79	$151.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $70.79	Professional		$51.29	$51.29	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $100.00	Professional		$48.98	$69.18	$100.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $239.88	Professional		$114.82	$128.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $97.72	Facility		$35.48	$45.71	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $70.79	Professional		$32.36	$51.29	$70.79