Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $104.75 / $144.74	Professional		$78.59	$104.75	$144.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $106.75 / $106.75	Professional		$106.75	$106.75	$106.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $119.27 / $215.14	Professional		$86.17	$119.27	$215.14
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $114.78 / $114.78 / $114.78	Professional		$114.78	$114.78	$114.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.44 / $112.44 / $128.46	Facility		$112.44	$112.44	$128.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $143.47 / $149.21	Professional		$95.57	$143.47	$149.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.78 / $149.78 / $149.78	Facility		$149.78	$149.78	$149.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $121.09 / $233.47	Professional		$82.73	$121.09	$233.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $129.74 / $238.89	Professional		$82.73	$129.74	$238.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $152.27 / $207.08	Professional		$105.68	$152.27	$207.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $113.66 / $203.68	Professional		$91.20	$113.66	$203.68