Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $125.38 / $361.02	Facility		$95.41	$125.38	$361.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $139.41 / $251.48	Professional		$98.34	$139.41	$251.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $197.12 / $235.03	Professional		$149.62	$197.12	$235.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $160.72 / $248.60	Professional		$115.09	$160.72	$248.60
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $166.79 / $191.81	Professional		$166.79	$166.79	$191.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $135.54 / $170.94	Facility		$103.58	$135.54	$170.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $166.79 / $189.54	Professional		$117.46	$166.79	$189.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $169.80 / $267.39	Professional		$119.75	$169.80	$267.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $177.98 / $269.47	Professional		$121.78	$177.98	$269.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $140.55 / $234.93	Professional		$79.64	$140.55	$234.93
United Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $181.45 / $288.54	Professional		$126.06	$181.45	$288.54