Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $108.60 / $184.61	Facility		$43.19	$108.60	$184.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $108.60 / $157.03	Professional		$95.03	$108.60	$157.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $141.47 / $141.47	Professional		$141.47	$141.47	$141.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.86 / $222.41 / $576.24	Facility		$189.86	$222.41	$576.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $109.27 / $266.89	Professional		$98.64	$109.27	$266.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $171.86 / $171.86	Professional		$171.86	$171.86	$171.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.63 / $202.19 / $272.95	Facility		$151.63	$202.19	$272.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $183.01 / $432.93	Professional		$132.16	$183.01	$432.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $238.28	Facility		$112.67	$112.67	$238.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $115.34	Professional		$82.25	$82.25	$115.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $112.67	Professional		$82.25	$112.67	$112.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $117.94 / $154.62	Professional		$85.77	$117.94	$154.62
United Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $96.37 / $135.53	Professional		$67.25	$96.37	$135.53