Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $183.48 / $720.17	Facility		$69.30	$183.48	$720.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $198.69	Professional		$40.65	$41.06	$198.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $58.63 / $58.63	Professional		$58.63	$58.63	$58.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $95.12 / $264.23	Facility		$60.98	$95.12	$264.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $44.71 / $81.11	Professional		$40.65	$44.71	$81.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $3.17 / $3.17	Facility		$3.17	$3.17	$3.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $41.20 / $61.19	Facility		$40.65	$41.20	$61.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $54.88	Professional		$40.65	$40.65	$54.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $57.53	Professional		$40.65	$40.65	$57.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $90.96 / $411.61	Facility		$35.97	$90.96	$411.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $86.74	Professional		$40.65	$40.65	$86.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $49.44 / $58.94	Professional		$41.20	$49.44	$58.94
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $57.72	Professional		$40.65	$40.65	$57.72