Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $105.30 / $170.85	Facility		$102.61	$105.30	$170.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $102.61 / $155.10	Professional		$80.72	$102.61	$155.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $79.89 / $290.00	Professional		$79.89	$79.89	$290.00
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 $89.71 / $112.34 / $261.58	Professional		$89.71	$112.34	$261.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $162.38 / $162.38	Professional		$162.38	$162.38	$162.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $210.14 / $283.74	Facility		$163.24	$210.14	$283.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $230.46 / $324.77	Professional		$143.28	$230.46	$324.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $225.06	Facility		$118.47	$120.81	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $120.81	Professional		$88.19	$88.19	$120.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $111.37 / $120.81 / $120.81	Facility		$111.37	$120.81	$120.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $120.81	Professional		$88.19	$120.81	$120.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $93.50 / $122.57	Professional		$68.00	$93.50	$122.57
United Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $92.23 / $133.57	Professional		$63.54	$92.23	$133.57