Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $102.61 / $309.20	Facility		$39.90	$102.61	$309.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $102.61 / $132.74	Professional		$89.79	$102.61	$132.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $143.28	Professional		$99.00	$99.00	$143.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $210.14 / $544.46	Facility		$179.39	$210.14	$544.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $103.75 / $252.17	Professional		$93.20	$103.75	$252.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $191.04 / $257.89	Facility		$143.28	$191.04	$257.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $172.85 / $409.05	Professional		$124.83	$172.85	$409.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $225.06	Facility		$106.63	$106.63	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $121.71	Professional		$77.84	$77.84	$121.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $121.71	Professional		$77.84	$106.63	$121.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.24 / $108.96 / $142.85	Professional		$79.24	$108.96	$142.85
United Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $91.84 / $141.88	Professional		$63.54	$91.84	$141.88