Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $80.78 / $207.29	Facility		$25.27	$80.78	$207.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $90.17 / $166.79	Professional		$57.20	$90.17	$166.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $106.30 / $150.15	Professional		$46.20	$106.30	$150.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $89.76 / $139.50	Professional		$64.66	$89.76	$139.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $111.40 / $154.02	Professional		$94.69	$111.40	$154.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $81.61 / $102.63	Facility		$67.37	$81.61	$102.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $125.93 / $196.09	Professional		$96.87	$125.93	$196.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $105.55 / $170.80	Professional		$71.36	$105.55	$170.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $235.20	Facility		$97.37	$97.37	$235.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $115.24 / $185.14	Professional		$75.44	$115.24	$185.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $84.89 / $174.59	Professional		$51.16	$84.89	$174.59
United Facility/Professional Professional Modifier Low / Median / High Price $78.28 / $111.89 / $180.01	Professional		$78.28	$111.89	$180.01