Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $80.53 / $362.58	Facility		$57.20	$80.53	$362.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $91.43 / $168.31	Professional		$57.20	$91.43	$168.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $101.71 / $135.62	Professional		$49.35	$101.71	$135.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $89.29 / $137.85	Professional		$64.66	$89.29	$137.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $111.40 / $126.90	Professional		$94.69	$111.40	$126.90
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 $71.66 / $105.29 / $170.27	Professional		$71.66	$105.29	$170.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $97.37 / $97.37	Facility		$18.98	$97.37	$97.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $115.38 / $184.66	Professional		$75.44	$115.38	$184.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $83.53 / $174.59	Professional		$51.16	$83.53	$174.59
United Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $109.79 / $184.23	Professional		$77.56	$109.79	$184.23