Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $52.68 / $171.00	Facility		$52.68	$52.68	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $52.68 / $60.35	Professional		$46.10	$52.68	$60.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $77.48 / $77.48	Professional		$77.48	$77.48	$77.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $107.90 / $279.56	Facility		$92.11	$107.90	$279.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $52.65 / $127.51	Professional		$47.84	$52.65	$127.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $83.38 / $83.38	Professional		$83.38	$83.38	$83.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $98.09 / $132.41	Facility		$73.56	$98.09	$132.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $88.75 / $210.03	Professional		$64.09	$88.75	$210.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $115.56	Facility		$70.48	$70.48	$115.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $70.48	Professional		$51.45	$51.45	$70.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $70.48	Facility		$70.48	$70.48	$70.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $70.48 / $70.48	Professional		$51.45	$70.48	$70.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $48.19 / $63.17	Professional		$35.04	$48.19	$63.17
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $46.75 / $65.84	Professional		$32.61	$46.75	$65.84