Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.66 / $94.66 / $94.66	Facility		$94.66	$94.66	$94.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $97.68 / $203.91	Professional		$94.66	$97.68	$203.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $113.82 / $167.99	Professional		$113.82	$113.82	$167.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.93 / $208.01 / $332.82	Facility		$150.93	$208.01	$332.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $171.85 / $359.18	Professional		$139.97	$171.85	$359.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $20.69 / $169.60	Facility		$13.29	$20.69	$169.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $20.69 / $286.88	Professional		$13.29	$20.69	$286.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $245.18	Facility		$129.12	$129.12	$245.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $202.50	Professional		$109.75	$129.12	$202.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $153.94	Facility		$129.12	$129.12	$153.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $129.12 / $129.12	Professional		$89.61	$129.12	$129.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $225.00 / $312.50	Professional		$150.00	$225.00	$312.50
United Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $92.30 / $161.74	Professional		$53.56	$92.30	$161.74