Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $45.19 / $123.00	Facility		$45.19	$45.19	$123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.01 / $45.19 / $60.53	Professional		$42.01	$45.19	$60.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $73.11 / $73.11	Professional		$73.11	$73.11	$73.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $101.81 / $263.77	Facility		$86.90	$101.81	$263.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.37 / $50.99 / $120.31	Professional		$46.37	$50.99	$120.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $92.55 / $124.94	Facility		$68.48	$92.55	$124.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $83.30 / $198.17	Professional		$60.16	$83.30	$198.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $109.38	Facility		$59.87	$59.87	$109.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $76.48	Professional		$43.71	$43.71	$76.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $59.87	Facility		$59.87	$59.87	$59.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $59.87 / $59.87	Professional		$43.71	$59.87	$59.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $53.97 / $70.76	Professional		$39.25	$53.97	$70.76
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $45.76 / $64.59	Professional		$30.78	$45.76	$64.59