Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.09 / $85.09 / $85.09	Facility		$85.09	$85.09	$85.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $111.67 / $416.11	Professional		$85.09	$111.67	$416.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $167.24 / $167.24	Professional		$167.24	$167.24	$167.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $203.15 / $325.04	Facility		$147.41	$203.15	$325.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.26 / $175.56 / $291.44	Professional		$146.26	$175.56	$291.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $24.86 / $191.14	Facility		$14.34	$24.86	$191.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $40.94 / $273.38	Professional		$13.54	$40.94	$273.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $250.47	Facility		$110.00	$110.00	$250.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $234.38	Professional		$93.50	$93.50	$234.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $153.76	Facility		$110.00	$110.00	$153.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $110.00 / $110.00	Professional		$15.89	$110.00	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $79.76 / $165.23	Professional		$49.08	$79.76	$165.23