Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $39.89 / $104.00	Facility		$39.89	$39.89	$104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $39.89 / $42.41	Professional		$29.95	$39.89	$42.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $55.70 / $58.67	Professional		$41.78	$55.70	$58.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $81.70 / $211.67	Facility		$69.73	$81.70	$211.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $36.36 / $96.55	Professional		$35.43	$36.36	$96.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $63.13 / $63.13	Professional		$63.13	$63.13	$63.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $74.27 / $100.26	Facility		$48.28	$74.27	$100.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $66.84 / $159.03	Professional		$48.28	$66.84	$159.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $81.31	Facility		$48.99	$48.99	$81.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $61.75	Professional		$35.76	$35.76	$61.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $48.99	Facility		$48.99	$48.99	$48.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.99 / $48.99	Professional		$35.76	$48.99	$48.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $43.31 / $56.78	Professional		$31.50	$43.31	$56.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $34.18 / $47.14	Professional		$23.26	$34.18	$47.14