Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $53.02 / $81.14	Facility		$47.73	$53.02	$81.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $47.73 / $61.75	Professional		$41.76	$47.73	$61.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $66.65	Professional		$49.99	$49.99	$66.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $97.76 / $253.28	Facility		$83.45	$97.76	$253.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $46.60 / $117.30	Professional		$43.35	$46.60	$117.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $75.54 / $75.54	Professional		$75.54	$75.54	$75.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $88.87 / $119.97	Facility		$66.65	$88.87	$119.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $80.42 / $190.29	Professional		$58.08	$80.42	$190.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $104.71	Facility		$49.61	$49.61	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $102.19	Professional		$36.22	$36.22	$102.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $49.60 / $49.61	Professional		$36.22	$49.60	$49.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $28.36 / $37.19	Professional		$20.63	$28.36	$37.19
United Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $42.35 / $59.67	Professional		$29.56	$42.35	$59.67