Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $94.20 / $268.51	Facility		$74.59	$94.20	$268.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $100.24 / $173.60	Professional		$77.31	$100.24	$173.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $101.50 / $106.34	Professional		$101.50	$101.50	$106.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $117.88 / $185.58	Professional		$91.60	$117.88	$185.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $91.24 / $133.83	Facility		$77.72	$91.24	$133.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $113.71 / $129.21	Professional		$107.15	$113.71	$129.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $125.18 / $203.74	Professional		$93.21	$125.18	$203.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $126.90 / $195.10	Professional		$94.62	$126.90	$195.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $112.53 / $155.71	Professional		$83.14	$112.53	$155.71
United Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $128.47 / $197.16	Professional		$93.12	$128.47	$197.16