Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $136.47 / $469.06	Facility		$94.13	$136.47	$469.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $96.12 / $189.16	Professional		$80.66	$96.12	$189.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $67.81 / $160.54	Professional		$64.93	$67.81	$160.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $125.32 / $143.05	Facility		$118.37	$125.32	$143.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $141.61 / $226.43	Professional		$95.47	$141.61	$226.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $53.02 / $117.72	Facility		$36.42	$53.02	$117.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $47.93 / $99.08	Professional		$39.27	$47.93	$99.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $134.84 / $134.84	Facility		$86.28	$134.84	$134.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $117.51 / $210.39	Professional		$80.39	$117.51	$210.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $134.84 / $638.07	Facility		$86.28	$134.84	$638.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $116.84 / $221.93	Professional		$80.39	$116.84	$221.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $49.03 / $132.19	Professional		$29.62	$49.03	$132.19
United Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $104.65 / $168.25	Professional		$77.58	$104.65	$168.25