Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,995.26 / $1,995.26	Facility		$190.55	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $229.09	Professional		$93.33	$109.65	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $117.49	Professional		$89.13	$91.20	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $213.80	Professional		$95.50	$128.82	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $109.65 / $125.89	Facility		$95.50	$109.65	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $120.23	Professional		$107.15	$107.15	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $169.82	Facility		$89.13	$165.96	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $234.42	Professional		$97.72	$134.90	$234.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $758.58	Facility		$165.96	$165.96	$758.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $223.87	Professional		$95.50	$134.90	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $204.17	Professional		$91.20	$107.15	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $190.55	Professional		$83.18	$112.20	$190.55