Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $84.98 / $534.40	Facility		$55.09	$84.98	$534.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $71.38 / $92.57	Professional		$55.09	$71.38	$92.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $71.56 / $71.56	Professional		$71.56	$71.56	$71.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $80.27 / $124.38	Professional		$59.68	$80.27	$124.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.35 / $63.13 / $93.76	Facility		$47.35	$63.13	$93.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $84.69 / $99.93	Professional		$78.52	$84.69	$99.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $109.78 / $109.78	Facility		$109.78	$109.78	$109.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $84.00 / $139.78	Professional		$59.00	$84.00	$139.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $109.78 / $109.78	Facility		$109.78	$109.78	$109.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $84.00 / $133.00	Professional		$57.00	$84.00	$133.00
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 $72.11 / $93.98 / $199.69	Professional		$72.11	$93.98	$199.69
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $99.17 / $194.67	Professional		$69.37	$99.17	$194.67