Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $183.00 / $9,960.15	Facility		$76.18	$183.00	$9,960.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $103.03	Professional		$75.03	$75.78	$103.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $75.03	Professional		$75.03	$75.03	$75.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $120.80 / $187.55	Facility		$81.02	$120.80	$187.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $85.53 / $126.50	Professional		$75.03	$85.53	$126.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $76.18 / $113.15	Facility		$75.03	$76.18	$113.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.18 / $120.05	Professional		$75.03	$76.18	$120.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $75.02 / $105.97	Facility		$70.78	$75.02	$105.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $115.03	Professional		$75.02	$75.02	$115.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $105.97 / $396.55	Facility		$75.02	$105.97	$396.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $124.67	Professional		$75.02	$75.02	$124.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $87.04 / $108.79	Professional		$75.69	$87.04	$108.79
United Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $92.34 / $92.34	Facility		$92.34	$92.34	$92.34
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $92.98	Professional		$75.03	$75.03	$92.98