Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $255.62 / $1,091.08	Facility		$67.15	$255.62	$1,091.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $84.12 / $121.52	Professional		$67.15	$84.12	$121.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $113.24 / $120.92	Professional		$75.48	$113.24	$120.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $92.20 / $145.57	Professional		$68.87	$92.20	$145.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $137.56 / $137.56	Professional		$137.56	$137.56	$137.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $75.17 / $101.48	Facility		$56.38	$75.17	$101.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $98.23 / $120.92	Professional		$71.26	$98.23	$120.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $130.25	Facility		$130.25	$130.25	$130.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $98.00 / $160.87	Professional		$69.00	$98.00	$160.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $130.25 / $130.25	Facility		$130.25	$130.25	$130.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $98.00 / $161.63	Professional		$68.00	$98.00	$161.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $102.82 / $148.80	Professional		$78.68	$102.82	$148.80
Optum Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $109.16 / $228.82	Professional		$88.53	$109.16	$228.82
United Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $114.48 / $221.59	Professional		$80.81	$114.48	$221.59