Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.95 / $131.94 / $258.79	Facility		$98.95	$131.94	$258.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $128.02 / $215.64	Professional		$98.96	$128.02	$215.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $442.00 / $442.00 / $442.00	Professional	25	$442.00	$442.00	$442.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $113.49 / $151.60	Professional		$85.41	$113.49	$151.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $139.13 / $220.94	Professional		$99.71	$139.13	$220.94
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $133.35 / $133.35 / $133.35	Facility		$133.35	$133.35	$133.35
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $151.33 / $200.03	Professional		$110.01	$151.33	$200.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.01 / $133.35 / $180.02	Facility		$100.01	$133.35	$180.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $172.83 / $211.86	Professional		$124.85	$172.83	$211.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $231.96 / $231.96	Facility		$231.96	$231.96	$231.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $138.91 / $250.60	Professional		$76.00	$138.91	$250.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $231.96 / $231.96	Facility		$231.96	$231.96	$231.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $142.78 / $247.72	Professional		$95.00	$142.78	$247.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $171.77 / $243.98	Professional		$121.25	$171.77	$243.98
Optum Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $147.07 / $218.56	Professional		$104.79	$147.07	$218.56
United Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $151.33 / $286.58	Professional		$99.76	$151.33	$286.58