Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $84.24 / $275.17	Facility		$47.71	$84.24	$275.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $122.01 / $215.53	Professional		$81.31	$122.01	$215.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $129.25 / $175.04	Professional		$120.02	$129.25	$175.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $120.71 / $186.27	Professional		$88.07	$120.71	$186.27
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $144.41 / $178.79	Professional		$116.90	$144.41	$178.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $108.94 / $138.47	Facility		$90.29	$108.94	$138.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $162.54 / $253.96	Professional		$125.03	$162.54	$253.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $137.53 / $220.88	Professional		$96.10	$137.53	$220.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $150.03 / $228.86	Professional		$101.55	$150.03	$228.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $106.03 / $185.20	Professional		$60.74	$106.03	$185.20
United Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $147.88 / $231.95	Professional		$104.98	$147.88	$231.95