Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.75 / $364.52 / $706.38	Facility		$90.75	$364.52	$706.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $121.00 / $161.58	Professional		$98.18	$121.00	$161.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $132.49 / $149.07	Professional		$117.76	$132.49	$149.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $134.49 / $204.02	Professional		$98.48	$134.49	$204.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $123.81 / $123.81	Professional		$123.81	$123.81	$123.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $114.67 / $170.32	Facility		$94.60	$114.67	$170.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $136.19 / $173.33	Professional		$91.49	$136.19	$173.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $145.22 / $270.85	Professional		$104.54	$145.22	$270.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $148.57 / $240.84	Professional		$108.00	$148.57	$240.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $138.03 / $197.93	Professional		$106.18	$138.03	$197.93
Optum Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $125.76 / $133.08	Professional		$99.81	$125.76	$133.08
United Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $161.60 / $290.45	Professional		$112.29	$161.60	$290.45