Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $119.95 / $155.80	Facility		$81.06	$119.95	$155.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $91.65 / $101.57	Professional		$75.72	$91.65	$101.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $95.99 / $127.98	Professional		$95.99	$95.99	$127.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $187.70 / $486.32	Facility		$160.22	$187.70	$486.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $85.77 / $224.22	Professional		$83.24	$85.77	$224.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $145.04 / $145.04	Professional		$145.04	$145.04	$145.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $170.64 / $230.36	Facility		$127.98	$170.64	$230.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $155.04 / $365.37	Professional		$111.98	$155.04	$365.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $201.88	Facility		$115.38	$115.38	$201.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $141.93	Professional		$84.23	$84.23	$141.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $115.38	Professional		$84.23	$115.38	$115.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $99.52 / $130.48	Professional		$72.38	$99.52	$130.48
United Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $80.13 / $109.00	Professional		$53.75	$80.13	$109.00