Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $478.63	Facility		$128.82	$234.42	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $112.20 / $331.13	Professional		$38.90	$112.20	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $85.11	Professional		$69.18	$69.18	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $251.19	Facility		$125.89	$144.54	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $194.98	Professional		$54.95	$70.79	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $190.55	Facility		$109.65	$158.49	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $186.21	Professional		$138.04	$165.96	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $467.74	Facility		$89.13	$89.13	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $245.47	Professional		$63.10	$102.33	$245.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $141.25 / $467.74	Facility		$89.13	$141.25	$467.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $245.47	Professional		$63.10	$79.43	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $169.82	Professional		$102.33	$123.03	$169.82
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $316.23	Professional		$117.49	$169.82	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $123.03 / $138.04	Facility		$48.98	$123.03	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $158.49	Professional		$57.54	$81.28	$158.49