Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $183.00 / $19,016.59	Facility		$73.20	$183.00	$19,016.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $74.16 / $146.10	Professional		$73.19	$74.16	$146.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.05 / $94.55	Professional		$73.05	$73.05	$94.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $125.54 / $208.62	Facility		$79.06	$125.54	$208.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $83.37 / $122.26	Professional		$73.20	$83.37	$122.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $73.20 / $109.58	Facility		$73.05	$73.20	$109.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.20 / $117.12	Professional		$73.05	$73.20	$117.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $73.20 / $85.00	Facility		$69.06	$73.20	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $95.63	Professional		$73.20	$73.20	$95.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $73.19 / $85.00 / $123.45	Facility		$73.19	$85.00	$123.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $103.59	Professional		$73.20	$73.20	$103.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $84.00 / $105.34	Professional		$73.05	$84.00	$105.34
United Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $73.20 / $89.64	Professional		$73.06	$73.20	$89.64