Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $62.19 / $196.00	Facility		$62.19	$62.19	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $62.19 / $71.31	Professional		$54.47	$62.19	$71.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $127.37 / $330.00	Facility		$108.73	$127.37	$330.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $66.38 / $153.57	Professional		$54.38	$66.38	$153.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $98.42 / $98.42	Professional		$98.42	$98.42	$98.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.84 / $115.79 / $156.32	Facility		$86.84	$115.79	$156.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $104.81 / $247.93	Professional		$75.70	$104.81	$247.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $136.47	Facility		$70.70	$70.70	$136.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $90.33	Professional		$51.62	$51.62	$90.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $70.70	Professional		$51.62	$70.70	$70.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $110.00 / $144.21	Professional		$80.00	$110.00	$144.21
United Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $55.93 / $80.98	Professional		$38.51	$55.93	$80.98