Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.92 / $92.92 / $115.77	Facility		$92.92	$92.92	$115.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.92 / $103.44	Professional		$92.03	$92.92	$103.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $88.07 / $90.59	Professional		$75.91	$88.07	$90.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $99.80 / $151.13	Professional		$51.87	$99.80	$151.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $108.71 / $134.81	Facility		$90.59	$108.71	$134.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $117.77 / $149.19	Professional		$90.59	$117.77	$149.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $101.82 / $156.16	Professional		$73.66	$101.82	$156.16