Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $93.53 / $168.66	Professional		$87.81	$93.53	$168.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.79 / $122.12 / $135.21	Professional		$92.79	$122.12	$135.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $109.51 / $188.14	Professional		$97.27	$109.51	$188.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.55 / $129.55 / $129.55	Facility		$129.55	$129.55	$129.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $109.04 / $122.12	Professional		$95.95	$109.04	$122.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Facility		$106.03	$106.03	$106.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $106.03 / $106.03	Facility		$106.03	$106.03	$106.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $112.99 / $156.16	Professional		$80.03	$112.99	$156.16
United Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $119.92 / $208.35	Professional		$81.70	$119.92	$208.35