Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $56.89 / $191.71	Facility		$54.87	$56.89	$191.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $56.89 / $84.06	Professional		$49.75	$56.89	$84.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $63.11 / $150.00	Professional		$63.11	$63.11	$150.00
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 $49.74 / $59.68 / $144.68	Professional		$49.74	$59.68	$144.68
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 $87.91 / $116.51 / $157.32	Facility		$87.91	$116.51	$157.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $121.81 / $180.06	Professional		$79.44	$121.81	$180.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $116.62	Facility		$60.32	$61.21	$116.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $61.21	Professional		$44.68	$44.68	$61.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $61.22	Professional		$44.68	$61.21	$61.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $76.80 / $100.68	Professional		$55.85	$76.80	$100.68
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $127.86	Facility		$108.68	$108.68	$127.86
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $50.63 / $75.06	Professional		$35.22	$50.63	$75.06