Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $141.52 / $233.19	Facility		$128.65	$141.52	$233.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $130.87 / $220.63	Professional		$117.76	$130.87	$220.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $143.76 / $193.77	Professional		$115.16	$143.76	$193.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $148.44 / $229.85	Professional		$109.06	$148.44	$229.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $187.52 / $190.62	Professional		$162.51	$187.52	$190.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.81 / $146.09 / $187.52	Facility		$122.81	$146.09	$187.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $165.20 / $205.92	Professional		$127.08	$165.20	$205.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $181.27 / $350.03	Professional		$125.01	$181.27	$350.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $180.10 / $285.48	Professional		$125.01	$180.10	$285.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $142.16 / $198.68	Professional		$109.84	$142.16	$198.68
United Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $176.27 / $311.20	Professional		$119.82	$176.27	$311.20