Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $125.02 / $421.51	Facility		$66.40	$125.02	$421.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $77.41 / $158.36	Professional		$70.37	$77.41	$158.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $70.38	Professional		$70.38	$70.38	$70.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.01 / $122.92 / $201.99	Facility		$76.01	$122.92	$201.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $70.38 / $125.40	Professional		$70.19	$70.38	$125.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $106.00	Facility		$70.38	$70.38	$106.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $95.01	Professional		$70.38	$70.38	$95.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $117.77	Professional		$80.88	$80.88	$117.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $80.36 / $185.00	Facility		$31.51	$80.36	$185.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $117.77	Professional		$80.88	$80.88	$117.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $87.97 / $102.05	Professional		$77.41	$87.97	$102.05
United Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $86.54 / $96.88	Professional		$68.62	$86.54	$96.88