Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $88.17 / $234.96	Facility		$59.26	$88.17	$234.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $99.99 / $182.73	Professional		$64.83	$99.99	$182.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $106.07 / $148.50	Professional		$60.00	$106.07	$148.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $99.67 / $152.33	Professional		$72.84	$99.67	$152.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $118.11 / $168.65	Professional		$99.18	$118.11	$168.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $92.69 / $116.97	Facility		$76.54	$92.69	$116.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $137.88 / $215.21	Professional		$106.07	$137.88	$215.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $116.67 / $186.64	Professional		$80.81	$116.67	$186.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $173.76	Facility		$110.81	$110.81	$173.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $127.17 / $206.16	Professional		$85.07	$127.17	$206.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $93.53 / $178.42	Professional		$57.92	$93.53	$178.42
United Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $125.40 / $200.56	Professional		$87.88	$125.40	$200.56