Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $236.70 / $432.00	Facility		$82.50	$236.70	$432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $107.70 / $151.69	Professional		$87.93	$107.70	$151.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.30 / $105.00 / $160.79	Professional		$74.30	$105.00	$160.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $117.03 / $180.05	Professional		$87.34	$117.03	$180.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $114.85 / $149.31	Professional		$86.14	$114.85	$149.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $104.54 / $141.13	Facility		$78.41	$104.54	$141.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $130.31 / $160.79	Professional		$94.75	$130.31	$160.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $119.00 / $199.82	Professional		$89.00	$119.00	$199.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $119.00 / $199.82	Professional		$88.00	$119.00	$199.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $138.57 / $198.68	Professional		$106.18	$138.57	$198.68
Optum Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $135.94 / $236.50	Professional		$111.08	$135.94	$236.50
United Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $143.60 / $273.70	Professional		$98.65	$143.60	$273.70