Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $102.96 / $296.58	Facility		$76.43	$102.96	$296.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $115.39 / $199.10	Professional		$76.43	$115.39	$199.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $129.25 / $186.66	Professional		$50.25	$129.25	$186.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $131.55 / $212.08	Professional		$89.96	$131.55	$212.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $122.17 / $136.88 / $157.41	Professional		$122.17	$136.88	$157.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $109.86 / $138.41	Facility		$90.29	$109.86	$138.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $161.77 / $252.80	Professional		$124.44	$161.77	$252.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $136.88 / $220.36	Professional		$94.02	$136.88	$220.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $225.40	Facility		$130.94	$130.94	$225.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $144.13 / $220.75	Professional		$96.93	$144.13	$220.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $107.20 / $185.20	Professional		$60.74	$107.20	$185.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $152.06 / $204.34	Professional		$105.00	$152.06	$204.34
United Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $146.84 / $238.15	Professional		$104.27	$146.84	$238.15