Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $260.87 / $414.96	Facility		$128.93	$260.87	$414.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $103.88 / $213.94	Professional		$75.59	$103.88	$213.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
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 $70.54 / $85.35 / $176.34	Professional		$70.54	$85.35	$176.34
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 $146.76 / $162.24 / $813.99	Facility		$146.76	$162.24	$813.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $128.13 / $276.23	Professional		$65.22	$128.13	$276.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $146.76 / $227.53 / $551.96	Facility		$146.76	$227.53	$551.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $128.13 / $304.29	Professional		$68.95	$128.13	$304.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $128.36 / $176.50	Professional		$112.31	$128.36	$176.50
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $207.81	Professional		$59.90	$85.58	$207.81