Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $92.13 / $172.86	Facility		$36.58	$92.13	$172.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $72.77 / $123.49	Professional		$65.25	$72.77	$123.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $101.62 / $142.26	Professional		$101.62	$101.62	$142.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $149.04 / $386.15	Facility		$127.23	$149.04	$386.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $75.47 / $180.65	Professional		$66.09	$75.47	$180.65
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $115.17 / $115.17	Professional		$115.17	$115.17	$115.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.62 / $135.49 / $185.78	Facility		$101.62	$135.49	$185.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $135.49 / $290.11	Professional		$94.84	$135.49	$290.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $112.88	Professional		$63.42	$63.42	$112.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $86.88	Professional		$63.42	$86.88	$86.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $79.03 / $103.61	Professional		$57.48	$79.03	$103.61
United Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $67.59 / $101.71	Professional		$45.06	$67.59	$101.71