Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $259.02 / $386.54	Facility		$100.40	$259.02	$386.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $100.40 / $338.34	Professional		$79.06	$100.40	$338.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $194.53 / $194.53	Professional		$194.53	$194.53	$194.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.82 / $138.05 / $222.10	Facility		$110.82	$138.05	$222.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $135.54	Professional		$61.98	$61.98	$135.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $125.50 / $169.43	Facility		$83.71	$125.50	$169.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $163.15 / $169.43	Professional		$106.68	$163.15	$169.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $129.22 / $475.86	Facility		$81.58	$129.22	$475.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $94.79 / $182.67	Professional		$60.40	$94.79	$182.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $129.22 / $485.84	Facility		$81.27	$129.22	$485.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $67.45 / $166.93	Professional		$59.68	$67.45	$166.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $103.54 / $150.60	Professional		$94.13	$103.54	$150.60
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $75.30 / $177.14	Professional		$52.71	$75.30	$177.14