Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.86 / $100.06 / $263.68	Facility		$45.86	$100.06	$263.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $121.69 / $216.01	Professional		$73.29	$121.69	$216.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $120.96 / $169.34	Professional		$75.27	$120.96	$169.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $138.31 / $218.13	Professional		$95.57	$138.31	$218.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $139.10 / $192.33	Professional		$113.10	$139.10	$192.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $105.37 / $132.72	Facility		$86.51	$105.37	$132.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $157.25 / $245.74	Professional		$120.96	$157.25	$245.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $133.06 / $213.53	Professional		$91.33	$133.06	$213.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $146.94 / $219.46	Professional		$97.40	$146.94	$219.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $105.43 / $185.20	Professional		$60.00	$105.43	$185.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $147.31 / $204.34	Professional		$105.00	$147.31	$204.34
United Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $140.78 / $224.63	Professional		$98.80	$140.78	$224.63