Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $186.21	Facility		$102.33	$112.20	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $194.98	Professional		$89.13	$104.71	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $177.83	Professional		$100.00	$123.03	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $190.55	Professional		$87.10	$120.23	$190.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $120.23	Facility		$100.00	$102.33	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $223.87	Professional		$100.00	$141.25	$223.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $218.78	Professional		$91.20	$138.04	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $245.47	Professional		$91.20	$120.23	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $204.17	Professional		$87.10	$120.23	$204.17