Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $78.98 / $276.00	Facility		$78.98	$78.98	$276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $78.98 / $83.98	Professional		$66.13	$78.98	$83.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $110.30 / $110.30	Professional		$110.30	$110.30	$110.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.09 / $161.77 / $419.12	Facility		$138.09	$161.77	$419.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $76.87 / $191.17	Professional		$71.75	$76.87	$191.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $147.06 / $198.53	Facility		$102.99	$147.06	$198.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $132.35 / $314.88	Professional		$95.59	$132.35	$314.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $162.13	Facility		$92.98	$92.98	$162.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $122.28	Professional		$67.88	$67.88	$122.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $92.98 / $92.98	Professional		$67.88	$92.98	$92.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $85.78 / $112.46	Professional		$62.39	$85.78	$112.46
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $69.06 / $105.27	Professional		$47.53	$69.06	$105.27