Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.61 / $194.81 / $808.73	Facility		$95.61	$194.81	$808.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $124.37 / $180.62	Professional		$98.66	$124.37	$180.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $98.23 / $118.98	Professional		$87.69	$98.23	$118.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $139.13 / $220.74	Professional		$96.05	$139.13	$220.74
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $145.53 / $193.53	Professional		$96.77	$145.53	$193.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $129.02 / $174.18	Facility		$96.77	$129.02	$174.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $167.36 / $219.53	Professional		$120.06	$167.36	$219.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $224.16 / $224.16	Facility		$224.16	$224.16	$224.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $162.80 / $267.00	Professional		$103.00	$162.80	$267.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $224.16 / $224.16	Facility		$224.16	$224.16	$224.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $161.28 / $258.75	Professional		$102.00	$161.28	$258.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $139.79 / $195.98	Professional		$107.04	$139.79	$195.98
Optum Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $141.31 / $222.32	Professional		$100.68	$141.31	$222.32
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $147.61 / $258.29	Professional		$105.98	$147.61	$258.29