Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $104.00	Facility		$39.06	$39.06	$104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $39.06 / $54.06	Professional		$38.07	$39.06	$54.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $59.99 / $59.99	Professional		$59.99	$59.99	$59.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $87.99 / $227.97	Facility		$75.11	$87.99	$227.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $46.80 / $105.58	Professional		$39.00	$46.80	$105.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Professional		$67.98	$67.98	$67.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $79.98 / $107.99	Facility		$59.99	$79.98	$107.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $79.98 / $171.27	Professional		$55.99	$79.98	$171.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $104.78	Facility		$51.74	$51.74	$104.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $66.51	Professional		$37.77	$37.77	$66.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $51.74	Facility		$51.74	$51.74	$51.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $51.74 / $51.74	Professional		$37.77	$51.74	$51.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $46.66 / $61.17	Professional		$33.93	$46.66	$61.17
United Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $39.90 / $61.50	Professional		$26.60	$39.90	$61.50