Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $91.69 / $304.00	Facility		$59.85	$91.69	$304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $103.30 / $144.82	Professional		$67.89	$103.30	$144.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $128.19 / $179.48	Professional		$110.58	$128.19	$179.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $111.63 / $177.45	Professional		$67.37	$111.63	$177.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $96.66 / $130.49	Facility		$72.50	$96.66	$130.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $145.15 / $189.89	Professional		$105.77	$145.15	$189.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $137.09 / $245.17	Professional		$82.46	$137.09	$245.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $140.16 / $215.94	Professional		$90.38	$140.16	$215.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $135.99 / $201.33	Professional		$102.38	$135.99	$201.33
United Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $146.31 / $227.54	Professional		$103.65	$146.31	$227.54