Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.92 / $248.16 / $792.76	Facility		$70.92	$248.16	$792.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $87.77 / $126.71	Professional		$65.44	$87.77	$126.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $100.94 / $127.34	Professional		$72.28	$100.94	$127.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $95.89 / $149.31	Professional		$67.01	$95.89	$149.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $90.96 / $109.15	Professional		$68.22	$90.96	$109.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $72.09 / $97.34	Facility		$54.08	$72.09	$97.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $104.16 / $127.34	Professional		$75.04	$104.16	$127.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $102.00 / $169.76	Professional		$72.00	$102.00	$169.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $102.00 / $165.01	Professional		$71.12	$102.00	$165.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.10 / $102.83 / $149.97	Professional		$79.10	$102.83	$149.97
Optum Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $114.64 / $208.03	Professional		$94.00	$114.64	$208.03
United Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $119.53 / $228.68	Professional		$84.67	$119.53	$228.68