Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $91.65 / $91.65	Facility		$91.65	$91.65	$91.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $91.65 / $161.76	Professional		$72.33	$91.65	$161.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $144.97 / $144.97	Professional		$144.97	$144.97	$144.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $214.54 / $343.26	Facility		$155.66	$214.54	$343.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $131.88 / $282.26	Professional		$96.80	$131.88	$282.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $197.69 / $197.69 / $214.71	Professional		$197.69	$197.69	$214.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $134.71 / $214.71	Facility		$16.98	$134.71	$214.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $128.72 / $265.17	Professional		$14.59	$128.72	$265.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $197.83	Facility		$115.90	$115.90	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $192.00	Professional		$98.52	$115.90	$192.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Facility		$115.90	$115.90	$144.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $133.46	Professional		$98.52	$115.90	$133.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $153.51 / $221.37	Professional		$122.80	$153.51	$221.37
United Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $95.36 / $137.02	Professional		$59.81	$95.36	$137.02