Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $130.83 / $237.80	Professional		$117.81	$130.83	$237.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.01 / $172.21 / $191.90	Professional		$124.01	$172.21	$191.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.26 / $151.30 / $255.64	Professional		$135.26	$151.30	$255.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.70 / $182.70 / $182.70	Facility		$182.70	$182.70	$182.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $152.52 / $172.21	Professional		$135.31	$152.52	$172.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $151.80 / $209.53	Professional		$107.21	$151.80	$209.53
United Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $166.06 / $286.87	Professional		$112.90	$166.06	$286.87