Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.16 / $96.99 / $283.00	Facility		$61.16	$96.99	$283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $99.37 / $174.87	Professional		$64.08	$99.37	$174.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $106.37 / $132.96	Professional		$49.35	$106.37	$132.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $120.18 / $200.73	Professional		$79.55	$120.18	$200.73
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $117.01 / $122.33	Professional		$103.98	$117.01	$122.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $88.36 / $110.45	Facility		$72.58	$88.36	$110.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $138.28 / $215.43	Professional		$106.37	$138.28	$215.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $115.03 / $185.62	Professional		$76.72	$115.03	$185.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $121.54 / $185.62	Professional		$79.53	$121.54	$185.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $100.81 / $177.74	Professional		$57.69	$100.81	$177.74
United Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $123.02 / $195.96	Professional		$87.40	$123.02	$195.96