Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $302.00	Facility		$85.11	$112.20	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $125.89	Professional		$83.18	$83.18	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $549.54	Facility		$91.20	$181.97	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $190.55	Professional		$91.20	$128.82	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $144.54	Professional		$95.50	$95.50	$144.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $204.17	Facility		$81.28	$95.50	$204.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $144.54	Professional		$95.50	$95.50	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $234.42	Professional		$158.49	$199.53	$234.42
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $208.93	Professional		$95.50	$123.03	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $131.83	Professional		$83.18	$100.00	$131.83