Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $112.62 / $334.36	Professional		$94.16	$112.62	$334.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $112.73 / $214.82	Professional		$112.73	$112.73	$214.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $138.65 / $211.39	Professional		$104.37	$138.65	$211.39
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $146.55 / $146.55 / $180.37	Professional		$146.55	$146.55	$180.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $133.02 / $169.10	Facility		$112.73	$133.02	$169.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $146.55 / $232.49	Professional		$112.73	$146.55	$232.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $1,200.00	Facility		$138.29	$138.29	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $147.93 / $241.25	Professional		$112.73	$147.93	$241.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $1,200.00	Facility		$138.29	$138.29	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $153.07 / $258.94	Professional		$113.08	$153.07	$258.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $149.90 / $208.79	Professional		$108.46	$149.90	$208.79
United Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $139.74 / $214.70	Professional		$99.45	$139.74	$214.70