Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $106.88 / $294.07	Professional		$90.50	$106.88	$294.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $108.61 / $161.85	Professional		$108.61	$108.61	$161.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $133.11 / $203.46	Professional		$100.07	$133.11	$203.46
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $141.19 / $173.78	Professional		$124.90	$141.19	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.61 / $128.16 / $162.91	Facility		$108.61	$128.16	$162.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $141.19 / $224.11	Professional		$108.61	$141.19	$224.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $1,200.00	Facility		$132.90	$132.90	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $141.68 / $232.44	Professional		$108.57	$141.68	$232.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $1,200.00	Facility		$132.90	$132.90	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $148.99 / $249.57	Professional		$109.79	$148.99	$249.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $111.09 / $155.41	Professional		$82.40	$111.09	$155.41
United Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $136.94 / $206.12	Professional		$97.58	$136.94	$206.12