Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $150.44 / $308.98	Facility		$39.59	$150.44	$308.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $66.95 / $114.83	Professional		$40.14	$66.95	$114.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $93.50 / $186.99	Professional		$70.12	$93.50	$186.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $137.13 / $355.28	Facility		$117.06	$137.13	$355.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $70.55 / $166.21	Professional		$60.82	$70.55	$166.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $105.96 / $105.96	Professional		$105.96	$105.96	$105.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.44 / $147.10 / $186.99	Facility		$118.44	$147.10	$186.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $155.83 / $260.57	Professional		$93.50	$155.83	$260.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $185.06	Facility		$86.64	$86.64	$185.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $91.83	Professional		$63.25	$63.25	$91.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $86.64 / $157.74	Facility		$80.83	$86.64	$157.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $100.05	Professional		$63.25	$86.64	$100.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $72.70 / $95.32	Professional		$52.88	$72.70	$95.32
United Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $62.19 / $93.71	Professional		$41.46	$62.19	$93.71