Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $162.90 / $465.63	Facility		$65.14	$162.90	$465.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $97.61	Professional		$56.88	$80.09	$97.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.22 / $68.66	Professional		$30.90	$57.22	$68.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $125.87 / $202.51	Facility		$101.04	$125.87	$202.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $79.94 / $134.77	Professional		$31.98	$79.94	$134.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $80.09 / $91.54	Professional		$80.09	$80.09	$91.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $120.15 / $154.47	Facility		$85.82	$120.15	$154.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $114.75 / $188.46	Professional		$74.38	$114.75	$188.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $117.82 / $390.50	Facility		$74.38	$117.82	$390.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $149.53	Professional		$60.16	$60.16	$149.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $117.82 / $276.58	Facility		$38.36	$117.82	$276.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $40.42 / $88.24	Professional		$21.85	$40.42	$88.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $94.40 / $137.31	Professional		$85.82	$94.40	$137.31
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $57.22 / $137.32	Professional		$33.57	$57.22	$137.32