Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $239.88	Facility		$95.50	$138.04	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $346.74	Professional		$109.65	$165.96	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $245.47	Professional		$134.90	$162.18	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $239.88	Professional		$114.82	$154.88	$239.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $323.59	Professional		$141.25	$190.55	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $257.04	Facility		$77.62	$123.03	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $144.54	Professional		$125.89	$125.89	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $295.12	Professional		$117.49	$165.96	$295.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $263.03	Professional		$117.49	$162.18	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $169.82	Professional		$60.26	$109.65	$169.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $316.23	Professional		$109.65	$177.83	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $234.42	Professional		$104.71	$151.36	$234.42