Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $144.00 / $240.83	Facility		$65.62	$144.00	$240.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $62.93 / $83.45	Professional		$52.04	$62.93	$83.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $82.54 / $82.54	Professional		$49.59	$82.54	$82.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $67.09 / $102.03	Professional		$48.47	$67.09	$102.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $88.44 / $99.93	Professional		$88.44	$88.44	$99.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $58.96 / $79.59	Facility		$44.22	$58.96	$79.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $75.98 / $93.27	Professional		$54.96	$75.98	$93.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $102.50 / $102.50	Facility		$102.50	$102.50	$102.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $70.56 / $135.44	Professional		$48.00	$70.56	$135.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $102.50 / $102.50	Facility		$102.50	$102.50	$102.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $73.45 / $135.44	Professional		$47.00	$73.45	$135.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $77.63 / $107.49	Professional		$55.15	$77.63	$107.49
Optum Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $65.06 / $105.77	Professional		$48.80	$65.06	$105.77
United Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $73.56 / $140.31	Professional		$51.23	$73.56	$140.31