Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $95.57 / $217.40	Facility		$72.68	$95.57	$217.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $87.94 / $179.00	Professional		$72.27	$87.94	$179.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $72.68 / $72.68	Professional		$72.68	$72.68	$72.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.69 / $172.67 / $479.64	Facility		$110.69	$172.67	$479.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $82.95 / $144.21	Professional		$82.95	$82.95	$144.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $73.79 / $109.75	Facility		$72.68	$73.79	$109.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $73.79 / $99.62	Professional		$72.68	$73.79	$99.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $69.62 / $93.78	Facility		$69.62	$69.62	$93.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $139.16	Professional		$93.78	$93.78	$139.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $21.70 / $46.54	Facility		$14.99	$21.70	$46.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $139.16	Professional		$93.78	$93.78	$139.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $92.23 / $105.38	Professional		$79.94	$92.23	$105.38
United Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $95.98 / $102.78	Professional		$80.69	$95.98	$102.78