Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $69.66 / $213.38	Facility		$46.09	$69.66	$213.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $63.32 / $81.47	Professional		$55.42	$63.32	$81.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $70.25 / $88.42	Professional		$70.25	$70.25	$88.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.70 / $129.68 / $335.99	Facility		$110.70	$129.68	$335.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $64.01 / $155.61	Professional		$57.52	$64.01	$155.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $100.21 / $100.21	Professional		$100.21	$100.21	$100.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $117.89 / $159.15	Facility		$88.42	$117.89	$159.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $106.70 / $252.43	Professional		$77.06	$106.70	$252.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $71.19	Professional		$48.04	$48.04	$71.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $65.81	Professional		$48.04	$65.81	$65.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $86.90 / $113.92	Professional		$63.20	$86.90	$113.92
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $119.37 / $140.44	Facility		$119.37	$119.37	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $56.36 / $79.17	Professional		$38.00	$56.36	$79.17