Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $155.38 / $538.63	Facility		$128.19	$155.38	$538.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $185.93 / $272.81	Professional		$132.07	$185.93	$272.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $203.18 / $276.00	Professional		$177.78	$203.18	$276.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.18 / $171.00 / $299.26	Professional		$123.18	$171.00	$299.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $255.36 / $314.29	Professional		$192.01	$255.36	$314.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.94 / $199.80 / $253.89	Facility		$166.94	$199.80	$253.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $255.36 / $401.54	Professional		$196.43	$255.36	$401.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.90 / $237.04 / $385.50	Professional		$178.90	$237.04	$385.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $252.00 / $398.79	Professional		$181.34	$252.00	$398.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $182.16 / $284.67	Professional		$112.43	$182.16	$284.67
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $249.08 / $359.86	Professional		$105.00	$249.08	$359.86
United Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $252.83 / $391.90	Professional		$183.16	$252.83	$391.90