Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $60.26 / $245.47	Facility		$25.12	$60.26	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $109.65	Professional		$39.81	$57.54	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $131.83	Professional		$67.61	$79.43	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $83.18 / $165.96	Facility		$77.62	$83.18	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $123.03	Professional		$58.88	$74.13	$123.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $91.20	Professional		$89.13	$89.13	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $134.90	Facility		$75.86	$100.00	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $194.98	Professional		$91.20	$112.20	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Facility		$85.11	$85.11	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $85.11	Professional		$61.66	$61.66	$85.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $123.03	Facility		$81.28	$85.11	$123.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $138.04	Professional		$44.67	$61.66	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $91.20	Professional		$44.67	$63.10	$91.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $245.47	Professional		$102.33	$117.49	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $60.26 / $107.15	Facility		$43.65	$60.26	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $87.10	Professional		$37.15	$58.88	$87.10