Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $61.37 / $405.00	Facility		$40.98	$61.37	$405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $66.39 / $84.26	Professional		$55.78	$66.39	$84.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $81.26 / $81.26	Professional		$81.26	$81.26	$81.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $72.02 / $109.20	Professional		$52.00	$72.02	$109.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $62.51 / $84.39	Facility		$46.88	$62.51	$84.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $83.88 / $83.88	Professional		$83.88	$83.88	$83.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $108.73 / $108.73	Facility		$108.73	$108.73	$108.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $75.19 / $145.87	Professional		$51.00	$75.19	$145.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $108.73 / $108.73	Facility		$108.73	$108.73	$108.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $76.27 / $145.87	Professional		$50.00	$76.27	$145.87
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 $51.85 / $69.13 / $113.59	Professional		$51.85	$69.13	$113.59
United Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $76.06 / $150.72	Professional		$54.44	$76.06	$150.72