Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $115.60 / $321.00	Facility		$46.55	$115.60	$321.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $137.80 / $247.38	Professional		$89.51	$137.80	$247.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $139.61 / $195.45	Professional		$68.09	$139.61	$195.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $148.59 / $233.03	Professional		$105.70	$148.59	$233.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $130.53 / $161.25 / $199.64	Professional		$130.53	$161.25	$199.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.61 / $128.63 / $160.80	Facility		$105.61	$128.63	$160.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $181.49 / $284.02	Professional		$139.61	$181.49	$284.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $155.44 / $247.49	Professional		$109.41	$155.44	$247.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $169.62 / $254.94	Professional		$117.03	$169.62	$254.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $124.58 / $190.52	Professional		$74.13	$124.58	$190.52
Optum Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $171.07 / $223.14	Professional		$105.00	$171.07	$223.14
United Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $164.92 / $260.58	Professional		$116.93	$164.92	$260.58