Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $73.65 / $209.09	Facility		$46.69	$73.65	$209.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $106.12 / $206.33	Professional		$66.95	$106.12	$206.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $109.24 / $152.94	Professional		$66.00	$109.24	$152.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $101.18 / $154.33	Professional		$73.28	$101.18	$154.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $125.63 / $156.21	Professional		$102.14	$125.63	$156.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $95.52 / $121.34	Facility		$79.06	$95.52	$121.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $142.01 / $222.05	Professional		$109.24	$142.01	$222.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $119.86 / $190.58	Professional		$81.81	$119.86	$190.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $133.72 / $206.14	Professional		$89.89	$133.72	$206.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $93.55 / $183.51	Professional		$59.57	$93.55	$183.51
United Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $128.44 / $203.10	Professional		$89.77	$128.44	$203.10