Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.73 / $67.64 / $214.18	Facility		$50.73	$67.64	$214.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $66.11 / $108.37	Professional		$52.08	$66.11	$108.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $57.47 / $78.93	Professional		$43.10	$57.47	$78.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $66.81 / $106.08	Professional		$44.37	$66.81	$106.08
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $68.28 / $68.28	Facility		$68.28	$68.28	$68.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $77.41 / $102.42	Professional		$58.06	$77.41	$102.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $68.28 / $92.18	Facility		$51.21	$68.28	$92.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $88.44 / $108.37	Professional		$63.86	$88.44	$108.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $118.77 / $118.77	Facility		$118.77	$118.77	$118.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $68.95 / $128.00	Professional		$48.23	$68.95	$128.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $118.77 / $118.77	Facility		$118.77	$118.77	$118.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $71.00 / $122.64	Professional		$50.00	$71.00	$122.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $102.29 / $148.80	Professional		$72.58	$102.29	$148.80
Optum Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $75.56 / $127.95	Professional		$53.84	$75.56	$127.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $79.15 / $144.75	Professional		$54.92	$79.15	$144.75