Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $92.64 / $257.00	Facility		$57.20	$92.64	$257.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $97.14 / $181.79	Professional		$57.20	$97.14	$181.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.01 / $101.29 / $133.44	Professional		$96.01	$101.29	$133.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $130.72 / $208.22	Professional		$84.93	$130.72	$208.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $116.48 / $132.69	Professional		$94.71	$116.48	$132.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $81.61 / $102.63	Facility		$67.62	$81.61	$102.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $131.68 / $204.70	Professional		$101.29	$131.68	$204.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $108.34 / $177.64	Professional		$71.80	$108.34	$177.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $116.48 / $180.27	Professional		$72.68	$116.48	$180.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $91.28 / $174.59	Professional		$52.06	$91.28	$174.59
United Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $118.06 / $191.81	Professional		$83.32	$118.06	$191.81