Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $63.47 / $189.13	Facility		$46.55	$63.47	$189.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $84.13 / $158.50	Professional		$52.19	$84.13	$158.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $90.15 / $136.29	Professional		$43.05	$90.15	$136.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $84.35 / $131.05	Professional		$61.64	$84.35	$131.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $104.49 / $129.94	Professional		$88.82	$104.49	$129.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $74.45 / $93.59	Facility		$61.52	$74.45	$93.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $118.12 / $183.67	Professional		$90.86	$118.12	$183.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $96.45 / $160.57	Professional		$65.00	$96.45	$160.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $180.06	Facility		$88.85	$88.85	$180.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $104.48 / $164.62	Professional		$68.48	$104.48	$164.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $75.71 / $135.47	Professional		$46.95	$75.71	$135.47
United Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $108.01 / $173.60	Professional		$73.41	$108.01	$173.60