Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $190.55 / $933.25	Facility		$67.61	$190.55	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $446.68	Professional		$102.33	$134.90	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $134.90	Professional		$89.13	$97.72	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $151.36	Professional		$75.86	$102.33	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $151.36 / $165.96	Facility		$117.49	$151.36	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $281.84	Professional		$117.49	$158.49	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $181.97 / $630.96	Facility		$30.20	$181.97	$630.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $151.36	Professional		$114.82	$114.82	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $128.82 / $186.21	Professional		$32.36	$128.82	$186.21
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Professional		$60.26	$60.26	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Professional		$446.68	$446.68	$467.74