Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $116.25 / $315.70	Facility		$72.00	$116.25	$315.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $97.04 / $150.09	Professional		$75.40	$97.04	$150.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $79.68 / $106.24	Professional		$71.27	$79.68	$106.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $110.45 / $171.97	Professional		$76.50	$110.45	$171.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $101.83 / $152.75	Professional		$76.16	$101.83	$152.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $101.54 / $137.08	Facility		$76.16	$101.54	$137.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $116.85 / $142.66	Professional		$84.01	$116.85	$142.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $106.92 / $196.14	Professional		$71.00	$106.92	$196.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $107.40 / $188.80	Professional		$71.00	$107.40	$188.80
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 $87.18 / $108.40 / $211.48	Professional		$87.18	$108.40	$211.48
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $120.58 / $225.21	Professional		$87.18	$120.58	$225.21