Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $87.10 / $234.42	Facility		$40.74	$87.10	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $389.05	Professional		$102.33	$151.36	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $245.47	Professional		$117.49	$151.36	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $213.80	Professional		$104.71	$131.83	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $134.90 / $234.42	Facility		$52.48	$134.90	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $223.87	Professional		$48.98	$123.03	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $416.87	Facility		$107.15	$125.89	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $323.59	Professional		$125.89	$177.83	$323.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $223.87	Facility		$29.51	$58.88	$223.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $363.08	Professional		$112.20	$169.82	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $112.20 / $154.88	Facility		$41.69	$112.20	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $295.12	Professional		$123.03	$165.96	$295.12