Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $178.87	Facility		$53.08	$53.08	$178.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $53.08 / $67.81	Professional		$46.83	$53.08	$67.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $74.12 / $90.00	Professional		$74.12	$74.12	$90.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.79 / $108.70 / $281.64	Facility		$92.79	$108.70	$281.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $55.41 / $129.84	Professional		$48.19	$55.41	$129.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $98.82 / $133.41	Facility		$72.93	$98.82	$133.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $88.94 / $211.59	Professional		$64.23	$88.94	$211.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $123.22	Facility		$56.69	$62.81	$123.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $62.81	Facility		$56.69	$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 $41.89 / $57.60 / $75.52	Professional		$41.89	$57.60	$75.52
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $47.76 / $71.61	Professional		$32.86	$47.76	$71.61