Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.47 / $233.75 / $346.24	Facility		$99.47	$233.75	$346.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $125.29 / $228.83	Professional		$99.47	$125.29	$228.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $104.55 / $143.50	Professional		$103.22	$104.55	$143.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $123.77 / $200.40	Professional		$102.80	$123.77	$200.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $187.58 / $187.58 / $187.58	Professional		$187.58	$187.58	$187.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $104.56 / $152.24	Facility		$104.56	$104.56	$152.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $112.75 / $112.75	Professional		$104.27	$112.75	$112.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.31 / $161.31 / $161.31	Facility		$161.31	$161.31	$161.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $137.78 / $243.62	Professional		$99.47	$137.78	$243.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $161.31 / $161.31 / $161.31	Facility		$161.31	$161.31	$161.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $139.19 / $278.51	Professional		$100.61	$139.19	$278.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $117.16 / $156.91	Professional		$89.52	$117.16	$156.91
United Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $116.50 / $207.16	Professional		$85.52	$116.50	$207.16