Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $118.84 / $320.35	Facility		$78.90	$118.84	$320.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $108.04 / $202.86	Professional		$73.42	$108.04	$202.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $94.19 / $99.59	Professional		$94.19	$94.19	$99.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $61.92 / $134.56	Professional		$43.15	$61.92	$134.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.51 / $129.38 / $147.26	Facility		$103.51	$129.38	$147.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $139.74 / $170.47	Professional		$109.62	$139.74	$170.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $108.69 / $199.02	Professional		$78.95	$108.69	$199.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $86.51 / $187.65	Facility		$50.83	$86.51	$187.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $113.86 / $213.23	Professional		$83.20	$113.86	$213.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.32 / $108.74 / $157.87	Professional		$81.32	$108.74	$157.87
United Facility/Professional Facility Modifier Low / Median / High Price $119.23 / $119.23 / $139.21	Facility		$119.23	$119.23	$139.21
United Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $112.45 / $223.23	Professional		$61.24	$112.45	$223.23