Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $93.14 / $313.88	Facility		$32.69	$93.14	$313.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $93.14 / $125.69	Professional		$71.68	$93.14	$125.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $110.05 / $110.05	Professional		$110.05	$110.05	$110.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $75.62 / $190.74	Professional		$63.02	$75.62	$190.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $146.72 / $198.09	Facility		$110.05	$146.72	$198.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $146.72 / $314.18	Professional		$95.37	$146.72	$314.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $171.95	Facility		$88.15	$88.15	$171.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $108.90	Professional		$74.93	$74.93	$108.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.25	Facility		$88.15	$88.15	$88.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $88.15	Professional		$74.93	$88.15	$88.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $107.58 / $141.03	Professional		$78.23	$107.58	$141.03
United Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $67.12 / $98.52	Facility		$42.18	$67.12	$98.52
United Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $68.91 / $95.89	Professional		$43.15	$68.91	$95.89