Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $203.00 / $292.80	Facility		$93.09	$203.00	$292.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $144.00 / $411.21	Professional		$95.00	$144.00	$411.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $114.66 / $114.66	Professional		$114.66	$114.66	$114.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $280.94 / $780.39	Facility		$180.09	$280.94	$780.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $122.46 / $212.05	Professional		$122.46	$122.46	$212.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $56.87 / $90.99	Facility		$56.87	$56.87	$90.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $56.87 / $76.77	Professional		$56.87	$56.87	$76.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $201.80	Professional		$134.47	$134.47	$201.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.15 / $224.06 / $249.34	Facility		$100.15	$224.06	$249.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $134.47 / $201.80	Professional		$105.11	$134.47	$201.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $170.66 / $180.89	Professional		$119.46	$170.66	$180.89
United Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $134.99 / $145.27	Professional		$119.83	$134.99	$145.27