Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.43 / $137.51 / $331.02	Facility		$101.43	$137.51	$331.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $102.90 / $163.97	Professional		$96.38	$102.90	$163.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $121.78 / $121.78	Professional		$121.78	$121.78	$121.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $119.51 / $196.15	Professional		$88.57	$119.51	$196.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $147.26 / $147.26	Facility		$96.92	$147.26	$147.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $109.07 / $138.81	Professional		$109.07	$109.07	$138.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $147.52 / $267.64	Professional		$99.53	$147.52	$267.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $108.26 / $119.60 / $119.60	Facility		$108.26	$119.60	$119.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $145.76 / $225.50	Professional		$99.53	$145.76	$225.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $106.67 / $148.80	Professional		$82.26	$106.67	$148.80
United Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $143.27 / $239.91	Professional		$98.41	$143.27	$239.91