Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $62.61 / $210.99	Facility		$30.18	$62.61	$210.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $62.61 / $104.26	Professional		$52.72	$62.61	$104.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.43 / $153.58	Professional		$57.54	$87.43	$153.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.46 / $128.22 / $332.22	Facility		$109.46	$128.22	$332.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $61.34 / $165.86	Professional		$56.88	$61.34	$165.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $99.08 / $99.08	Professional		$99.08	$99.08	$99.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.69 / $128.22 / $173.14	Facility		$100.69	$128.22	$173.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $142.15 / $198.17	Professional		$87.43	$142.15	$198.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $138.82	Facility		$68.22	$68.22	$138.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $73.06	Professional		$49.80	$49.80	$73.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $68.22 / $76.56	Facility		$29.85	$68.22	$76.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $73.06	Professional		$49.80	$68.22	$73.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $68.01 / $89.16	Professional		$49.46	$68.01	$89.16
United Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $54.43 / $75.70	Professional		$37.81	$54.43	$75.70