Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $168.32 / $270.67	Facility		$153.60	$168.32	$270.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $154.46 / $251.81	Professional		$137.05	$154.46	$251.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $209.38 / $209.38	Professional		$149.56	$209.38	$209.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $177.25 / $271.13	Professional		$129.07	$177.25	$271.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $224.34 / $224.34 / $224.34	Professional		$224.34	$224.34	$224.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.56 / $169.54 / $222.13	Facility		$149.56	$169.54	$222.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $167.10 / $212.67	Professional		$167.10	$167.10	$212.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $257.18	Facility		$257.18	$257.18	$257.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $212.68 / $418.75	Professional		$149.56	$212.68	$418.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $257.18	Facility		$257.18	$257.18	$257.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $212.68 / $326.91	Professional		$149.56	$212.68	$326.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $174.78 / $247.97	Professional		$134.44	$174.78	$247.97
United Facility/Professional Professional Modifier Low / Median / High Price $134.26 / $205.08 / $335.54	Professional		$134.26	$205.08	$335.54