Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.77 / $116.77 / $116.77	Facility		$116.77	$116.77	$116.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $116.77 / $180.04	Professional		$116.76	$116.77	$180.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.76 / $262.89 / $420.64	Facility		$190.76	$262.89	$420.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.21 / $206.90 / $445.78	Professional		$173.21	$206.90	$445.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $26.36 / $240.45	Facility		$18.55	$26.36	$240.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $26.36 / $279.01	Professional		$16.39	$26.36	$279.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $295.19	Facility		$123.98	$123.98	$295.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $123.98 / $251.25	Professional		$105.38	$123.98	$251.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $195.37	Facility		$123.98	$123.98	$195.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $123.98 / $124.53	Professional		$105.38	$123.98	$124.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $218.83 / $303.93	Professional		$145.88	$218.83	$303.93
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $105.09 / $194.73	Professional		$64.67	$105.09	$194.73