Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $331.20 / $431.10	Facility		$128.93	$331.20	$431.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $103.88 / $171.15	Professional		$99.84	$103.88	$171.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $85.58	Professional		$71.31	$71.31	$85.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.94 / $154.04 / $252.41	Facility		$125.94	$154.04	$252.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $69.03 / $197.82	Professional		$57.05	$69.03	$197.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $89.86 / $89.86 / $89.86	Facility		$89.86	$89.86	$89.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $164.02 / $213.95	Facility		$142.63	$164.02	$213.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $185.42 / $311.88	Professional		$142.63	$185.42	$311.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.29 / $146.85 / $813.99	Facility		$127.29	$146.85	$813.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $109.24 / $276.23	Professional		$65.15	$109.24	$276.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $179.86 / $381.26	Facility		$71.06	$179.86	$381.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $79.87 / $276.23	Professional		$64.98	$79.87	$276.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $117.66 / $155.10	Professional		$58.83	$117.66	$155.10
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $188.37	Professional		$59.90	$85.58	$188.37