Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $60.26	Facility		$33.11	$47.86	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $45.71	Professional		$25.12	$32.36	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $67.61 / $138.04	Facility		$64.57	$67.61	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $81.28	Professional		$30.90	$35.48	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $75.86	Facility		$31.62	$47.86	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $85.11	Professional		$40.74	$56.23	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Professional		$25.70	$25.70	$34.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $85.11	Facility		$34.67	$34.67	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Professional		$25.70	$25.70	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $72.44	Professional		$35.48	$50.12	$72.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $131.83	Professional		$64.57	$72.44	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $64.57	Facility		$21.38	$30.20	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $42.66	Professional		$20.89	$29.51	$42.66