Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $142.97 / $324.68	Facility		$80.03	$142.97	$324.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $92.95 / $137.38	Professional		$72.11	$92.95	$137.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $73.26 / $100.00	Professional		$68.36	$73.26	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $94.93 / $151.22	Professional		$62.39	$94.93	$151.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $97.68 / $146.09	Professional		$73.04	$97.68	$146.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $97.39 / $131.47	Facility		$73.04	$97.39	$131.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $112.09 / $136.85	Professional		$80.59	$112.09	$136.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $169.35 / $169.35	Facility		$169.35	$169.35	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $98.98 / $180.95	Professional		$66.00	$98.98	$180.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $169.35 / $169.35	Facility		$169.35	$169.35	$169.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $102.55 / $180.95	Professional		$67.00	$102.55	$180.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $103.31 / $149.64	Professional		$82.48	$103.31	$149.64
Optum Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $104.51 / $201.86	Professional		$83.80	$104.51	$201.86
United Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $115.75 / $228.65	Professional		$81.15	$115.75	$228.65