Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $295.12	Facility		$79.43	$123.03	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $316.23	Professional		$70.79	$97.72	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $123.03	Professional		$75.86	$117.49	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $154.88	Professional		$74.13	$79.43	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $114.82	Facility		$60.26	$81.28	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $147.91	Professional		$60.26	$77.62	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $147.91	Professional		$72.44	$91.20	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $794.33	Facility		$194.98	$316.23	$794.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $151.36	Professional		$74.13	$95.50	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $51.29	Professional		$32.36	$33.11	$51.29
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $141.25	Professional		$74.13	$85.11	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $151.36	Professional		$64.57	$83.18	$151.36