Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $77.09 / $136.93	Professional		$74.69	$77.09	$136.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $112.17 / $112.17	Professional		$112.17	$112.17	$112.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.96 / $180.49 / $288.77	Facility		$130.96	$180.49	$288.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $117.24 / $199.03	Professional		$115.62	$117.24	$199.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $166.12 / $173.87	Professional		$161.83	$166.12	$173.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $108.17 / $166.12	Facility		$12.47	$108.17	$166.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $105.88 / $195.32	Professional		$12.27	$105.88	$195.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $145.02	Facility		$94.65	$94.65	$145.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $165.75	Professional		$80.45	$94.65	$165.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Facility		$94.65	$94.65	$124.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Professional		$94.65	$94.65	$124.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $137.79 / $198.70	Professional		$110.23	$137.79	$198.70
United Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $78.97 / $117.24	Professional		$49.11	$78.97	$117.24