Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $95.50 / $173.78	Facility		$70.79	$95.50	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $269.15	Professional		$77.62	$123.03	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $190.55	Professional		$83.18	$102.33	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $186.21	Professional		$93.33	$123.03	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $120.23 / $162.18	Facility		$93.33	$120.23	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $223.87	Professional		$95.50	$128.82	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $144.54 / $154.88	Facility		$5.01	$144.54	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $213.80	Professional		$97.72	$131.83	$213.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $213.80	Professional		$95.50	$131.83	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $79.43 / $114.82	Professional		$33.11	$79.43	$114.82
Optum Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $138.04	Professional		$95.50	$100.00	$138.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $223.87	Professional		$102.33	$125.89	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $194.98	Professional		$91.20	$123.03	$194.98