Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.53 / $324.14 / $772.80	Facility		$93.53	$324.14	$772.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $116.47 / $165.72	Professional		$87.69	$116.47	$165.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $117.15 / $170.52	Professional		$101.47	$117.15	$170.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $127.49 / $195.82	Professional		$90.44	$127.49	$195.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $121.80 / $146.16	Professional		$91.35	$121.80	$146.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $101.47 / $136.97	Facility		$76.09	$101.47	$136.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $138.53 / $170.52	Professional		$100.49	$138.53	$170.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $134.00 / $222.50	Professional		$94.00	$134.00	$222.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $134.00 / $218.13	Professional		$93.00	$134.00	$218.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.59 / $138.57 / $198.68	Professional		$106.59	$138.57	$198.68
Optum Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $150.28 / $272.70	Professional		$123.62	$150.28	$272.70
United Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $156.66 / $297.41	Professional		$110.97	$156.66	$297.41