Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $70.65 / $143.02	Facility		$14.20	$70.65	$143.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $42.44 / $47.34	Professional		$36.07	$42.44	$47.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $59.27 / $59.27	Professional		$37.36	$59.27	$59.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $86.92 / $225.21	Facility		$74.20	$86.92	$225.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $39.58 / $102.72	Professional		$38.29	$39.58	$102.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $67.17 / $67.17	Professional		$67.17	$67.17	$67.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $79.02 / $106.68	Facility		$56.09	$79.02	$106.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $71.12 / $169.20	Professional		$51.36	$71.12	$169.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $86.54	Facility		$46.70	$46.70	$86.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $69.00	Professional		$34.09	$34.09	$69.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $69.00	Facility		$46.70	$46.70	$69.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $46.70 / $46.70	Professional		$34.09	$46.70	$46.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $46.09 / $60.42	Professional		$33.52	$46.09	$60.42
United Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $87.18	Facility		$74.09	$74.09	$87.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.85 / $50.26	Professional		$24.55	$36.85	$50.26