Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $73.62 / $202.46	Facility		$55.87	$73.62	$202.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $75.67 / $135.58	Professional		$57.23	$75.67	$135.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.97 / $78.90 / $84.63	Professional		$67.97	$78.90	$84.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $91.36 / $141.69	Professional		$69.17	$91.36	$141.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $67.54 / $99.07	Facility		$57.53	$67.54	$99.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $87.96 / $99.95	Professional		$83.21	$87.96	$99.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $95.95 / $155.60	Professional		$69.84	$95.95	$155.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $97.55 / $147.13	Professional		$71.02	$97.55	$147.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $76.13 / $111.03	Professional		$52.84	$76.13	$111.03
United Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $100.44 / $156.57	Professional		$73.05	$100.44	$156.57