Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $269.15 / $288.40	Facility		$85.11	$269.15	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $123.03	Professional		$75.86	$91.20	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $154.88	Professional		$67.61	$97.72	$154.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $97.72	Facility		$64.57	$87.10	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $213.80	Professional		$85.11	$120.23	$213.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $173.78	Professional		$85.11	$114.82	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Optum Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $190.55	Professional		$141.25	$162.18	$190.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $169.82	Professional		$91.20	$112.20	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $186.21	Professional		$70.79	$100.00	$186.21