Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.31 / $84.31 / $264.00	Facility		$84.31	$84.31	$264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $84.31 / $96.59	Professional		$73.78	$84.31	$96.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.01 / $124.01 / $124.01	Professional		$124.01	$124.01	$124.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $172.67 / $447.36	Facility		$147.38	$172.67	$447.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $84.59 / $204.06	Professional		$76.56	$84.59	$204.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $133.41 / $133.41	Professional		$133.41	$133.41	$133.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $156.97 / $211.91	Facility		$117.73	$156.97	$211.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $142.06 / $336.10	Professional		$102.60	$142.06	$336.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $184.97	Facility		$99.06	$99.06	$184.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $126.55	Professional		$72.31	$72.31	$126.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.06 / $99.06	Professional		$72.31	$99.06	$99.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $110.06 / $144.29	Professional		$80.04	$110.06	$144.29
United Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $74.81 / $105.28	Professional		$52.21	$74.81	$105.28