Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $170.06 / $4,702.72	Facility		$78.47	$170.06	$4,702.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.47 / $104.60	Professional		$78.37	$78.47	$104.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $78.47 / $78.47	Professional		$78.47	$78.47	$78.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $126.18 / $195.93	Facility		$84.64	$126.18	$195.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $88.40 / $130.90	Professional		$78.37	$88.40	$130.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $78.47 / $117.56	Facility		$78.37	$78.47	$117.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.47 / $125.39	Professional		$78.37	$78.47	$125.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $78.37 / $85.00	Facility		$73.93	$78.37	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $100.38	Professional		$78.37	$78.37	$100.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $78.37 / $221.93	Facility		$73.93	$78.37	$221.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $110.90	Professional		$78.37	$78.37	$110.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $90.12 / $112.40	Professional		$78.37	$90.12	$112.40
United Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $78.37 / $95.96	Professional		$78.22	$78.37	$95.96