Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $98.63 / $261.00	Facility		$76.09	$98.63	$261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $114.47 / $285.00	Professional		$77.25	$114.47	$285.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $123.00 / $267.14	Professional		$108.63	$123.00	$267.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $100.68 / $156.87	Professional		$73.73	$100.68	$156.87
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $122.44 / $178.10	Professional		$111.31	$122.44	$178.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $133.57 / $165.32	Facility		$109.60	$133.57	$165.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $150.27 / $257.82	Professional		$111.31	$150.27	$257.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $135.36	Facility		$135.36	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $133.57 / $200.13	Professional		$96.27	$133.57	$200.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $143.21 / $282.52	Professional		$103.08	$143.21	$282.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $106.46 / $144.77	Professional		$82.26	$106.46	$144.77
Optum Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $119.28 / $159.16	Professional		$113.32	$119.28	$159.16
United Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $118.75 / $182.20	Professional		$82.61	$118.75	$182.20