Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $81.68 / $233.24	Facility		$62.58	$81.68	$233.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $100.89 / $153.00	Professional		$64.48	$100.89	$153.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $110.60 / $163.15	Professional		$103.11	$110.60	$163.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $91.87 / $156.41	Professional		$65.55	$91.87	$156.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $121.05 / $168.42	Professional		$81.29	$121.05	$168.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $98.13 / $124.74	Facility		$81.91	$98.13	$124.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $136.84 / $214.47	Professional		$105.26	$136.84	$214.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $126.31 / $198.57	Professional		$89.89	$126.31	$198.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $401.80	Facility		$117.95	$117.95	$401.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $131.18 / $204.62	Professional		$91.47	$131.18	$204.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $95.52 / $142.33	Professional		$60.00	$95.52	$142.33
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $136.62 / $275.17	Professional		$105.00	$136.62	$275.17
United Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $138.55 / $218.28	Professional		$99.83	$138.55	$218.28