Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $257.04	Facility		$77.62	$112.20	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $234.42	Professional		$64.57	$83.18	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $194.98	Professional		$72.44	$109.65	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $75.86 / $93.33	Facility		$66.07	$75.86	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $186.21	Professional		$81.28	$91.20	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $85.11 / $158.49	Facility		$64.57	$85.11	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $147.91	Professional		$67.61	$93.33	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $251.19 / $575.44	Facility		$79.43	$251.19	$575.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $151.36	Professional		$70.79	$95.50	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $158.49	Professional		$58.88	$85.11	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $57.54	Facility		$45.71	$45.71	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $151.36	Professional		$61.66	$87.10	$151.36