Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Facility		$212.34	$212.34	$212.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $119.27 / $168.98	Professional		$107.52	$119.27	$168.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $107.31 / $113.20	Professional		$105.08	$107.31	$113.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $134.60 / $206.52	Professional		$98.63	$134.60	$206.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.89 / $137.87 / $170.65	Facility		$114.89	$137.87	$170.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.38 / $143.61 / $160.85	Professional		$126.38	$143.61	$160.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $139.44 / $250.00	Facility		$139.44	$139.44	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $156.97 / $238.98	Professional		$112.60	$156.97	$238.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $215.00 / $250.00	Facility		$139.44	$215.00	$250.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $160.85 / $237.68	Professional		$116.21	$160.85	$237.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $139.54 / $195.98	Professional		$107.53	$139.54	$195.98
United Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $134.15 / $246.32	Professional		$96.13	$134.15	$246.32