Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $96.08 / $366.89	Facility		$46.69	$96.08	$366.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $117.74 / $216.31	Professional		$73.12	$117.74	$216.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $116.19 / $174.29	Professional		$57.30	$116.19	$174.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $110.04 / $170.35	Professional		$79.37	$110.04	$170.35
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $133.62 / $166.15	Professional		$108.64	$133.62	$166.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.87 / $104.60 / $131.76	Facility		$85.87	$104.60	$131.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $151.05 / $236.36	Professional		$116.19	$151.05	$236.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $127.91 / $205.54	Professional		$89.21	$127.91	$205.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $144.08 / $217.87	Professional		$97.53	$144.08	$217.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $102.38 / $185.20	Professional		$60.00	$102.38	$185.20
United Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $136.34 / $215.99	Professional		$94.17	$136.34	$215.99