Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $158.71 / $348.80	Facility		$80.00	$158.71	$348.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $120.00 / $124.85	Professional		$74.14	$120.00	$124.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $155.00	Professional		$60.00	$60.00	$155.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $110.00 / $176.97	Facility		$88.30	$110.00	$176.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $40.00 / $100.00	Professional		$34.89	$40.00	$100.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $105.00 / $135.00	Facility		$75.00	$105.00	$135.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $100.17 / $164.69	Professional		$65.00	$100.17	$164.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $102.96 / $341.25	Facility		$65.00	$102.96	$341.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $65.00 / $143.52	Professional		$45.74	$65.00	$143.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $102.24 / $262.60	Facility		$38.38	$102.24	$262.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $46.84 / $124.59	Professional		$28.57	$46.84	$124.59
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $60.00 / $120.00	Professional		$36.63	$60.00	$120.00