Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $44.58 / $191.71	Facility		$22.29	$44.58	$191.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $56.89 / $110.00	Professional		$49.75	$56.89	$110.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $79.44 / $79.44	Professional		$79.44	$79.44	$79.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.46 / $116.51 / $301.87	Facility		$99.46	$116.51	$301.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $30.22 / $134.65	Professional		$24.46	$30.22	$134.65
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $90.03 / $90.03	Professional		$90.03	$90.03	$90.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.48 / $105.92 / $142.99	Facility		$77.48	$105.92	$142.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $95.33 / $226.80	Professional		$68.84	$95.33	$226.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $116.62	Facility		$59.92	$59.92	$116.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $58.16 / $73.63	Professional		$43.74	$58.16	$73.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $59.92 / $59.92	Facility		$27.22	$59.92	$59.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $59.92 / $59.92	Professional		$43.74	$59.92	$59.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $30.41 / $39.87	Professional		$22.12	$30.41	$39.87
United Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $47.92 / $72.09	Professional		$23.79	$47.92	$72.09