Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $75.66 / $247.99	Facility		$44.55	$75.66	$247.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $83.78 / $126.64	Professional		$62.84	$83.78	$126.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $80.33 / $110.00	Professional		$62.97	$80.33	$110.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $74.78 / $124.74	Professional		$30.00	$74.78	$124.74
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $90.58 / $117.75	Professional		$78.13	$90.58	$117.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $80.86 / $109.16	Facility		$60.65	$80.86	$109.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $103.94 / $126.81	Professional		$74.73	$103.94	$126.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Facility		$140.25	$140.25	$140.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $94.00 / $170.99	Professional		$62.00	$94.00	$170.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Facility		$140.25	$140.25	$140.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $94.00 / $155.50	Professional		$62.00	$94.00	$155.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.10 / $102.82 / $148.80	Professional		$79.10	$102.82	$148.80
Optum Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $92.52 / $153.44	Professional		$60.00	$92.52	$153.44
United Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $100.73 / $204.79	Professional		$63.96	$100.73	$204.79