Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $117.98 / $327.73	Facility		$88.49	$117.98	$327.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $105.72 / $150.43	Professional		$82.05	$105.72	$150.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $108.15 / $120.38	Professional		$92.09	$108.15	$120.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $103.37 / $174.32	Professional		$59.50	$103.37	$174.32
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $120.38 / $120.38	Professional		$90.29	$120.38	$120.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $108.00 / $145.80	Facility		$81.00	$108.00	$145.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $138.13 / $168.53	Professional		$99.31	$138.13	$168.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.15 / $187.15 / $187.15	Facility		$187.15	$187.15	$187.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $127.31 / $241.14	Professional		$95.64	$127.31	$241.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $187.15 / $187.15 / $187.15	Facility		$187.15	$187.15	$187.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $128.00 / $207.00	Professional		$92.78	$128.00	$207.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $138.03 / $197.93	Professional		$106.59	$138.03	$197.93
Optum Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $122.40 / $196.75	Professional		$80.00	$122.40	$196.75
United Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $136.38 / $249.95	Professional		$94.13	$136.38	$249.95