Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $100.77 / $262.18	Facility		$64.83	$100.77	$262.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $104.09 / $173.78	Professional		$64.83	$104.09	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $110.49 / $154.69	Professional		$53.40	$110.49	$154.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $120.62 / $202.89	Professional		$82.75	$120.62	$202.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $127.06 / $144.74	Professional		$108.00	$127.06	$144.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $92.12 / $116.97	Facility		$76.54	$92.12	$116.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.49 / $143.63 / $223.82	Professional		$110.49	$143.63	$223.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $119.92 / $192.96	Professional		$81.33	$119.92	$192.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $235.20	Facility		$110.81	$110.81	$235.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $126.86 / $194.16	Professional		$82.36	$126.86	$194.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $99.79 / $175.93	Professional		$57.11	$99.79	$175.93
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $134.63 / $204.34	Professional		$105.00	$134.63	$204.34
United Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $134.53 / $204.49	Professional		$92.99	$134.53	$204.49