Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $87.94 / $233.19	Facility		$30.73	$87.94	$233.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $70.78 / $137.07	Professional		$29.15	$70.78	$137.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $103.75 / $103.75	Professional		$103.75	$103.75	$103.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $94.57 / $233.48	Professional		$34.86	$94.57	$233.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $30.76 / $40.04	Facility		$26.36	$30.76	$40.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $81.52 / $103.75	Professional		$33.70	$81.52	$103.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $122.60	Facility		$46.38	$46.38	$122.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $78.02 / $147.88	Professional		$29.75	$78.02	$147.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $56.19 / $122.60	Facility		$46.38	$56.19	$122.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $79.23 / $146.76	Professional		$30.07	$79.23	$146.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $109.12 / $152.32	Professional		$81.46	$109.12	$152.32
United Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $95.21 / $158.94	Professional		$67.94	$95.21	$158.94