Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $96.87 / $315.00	Facility		$48.95	$96.87	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $92.48 / $147.15	Professional		$76.59	$92.48	$147.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $97.80 / $111.58	Professional		$72.98	$97.80	$111.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $98.35 / $149.50	Professional		$71.00	$98.35	$149.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $128.75 / $145.55	Professional		$72.77	$128.75	$145.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $85.83 / $115.87	Facility		$64.37	$85.83	$115.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $110.64 / $135.84	Professional		$80.05	$110.64	$135.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $103.00 / $199.11	Professional		$70.00	$103.00	$199.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $106.43 / $199.11	Professional		$69.00	$106.43	$199.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $104.11 / $152.74	Professional		$80.03	$104.11	$152.74
Optum Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $95.22 / $155.00	Professional		$71.42	$95.22	$155.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $103.80 / $202.51	Professional		$74.98	$103.80	$202.51