Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $52.67 / $139.00	Facility		$17.62	$52.67	$139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $43.18 / $118.86	Professional		$29.98	$43.18	$118.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $60.29 / $88.43	Professional		$45.22	$60.29	$88.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $88.43 / $229.11	Facility		$75.48	$88.43	$229.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.04 / $102.57	Professional		$32.22	$37.04	$102.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $68.33 / $68.33	Professional		$68.33	$68.33	$68.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $88.43 / $119.41	Facility		$66.05	$88.43	$119.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $88.43 / $136.66	Professional		$59.45	$88.43	$136.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $88.08	Facility		$45.70	$45.70	$88.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $87.38	Professional		$33.36	$33.36	$87.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $45.70 / $86.91	Facility		$16.95	$45.70	$86.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $45.70 / $83.58	Professional		$33.36	$45.70	$83.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $48.02 / $62.96	Professional		$34.92	$48.02	$62.96
United Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $37.76 / $51.37	Professional		$24.80	$37.76	$51.37