Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $108.60 / $346.00	Facility		$108.60	$108.60	$346.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $108.60 / $186.24	Professional		$100.07	$108.60	$186.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $151.63 / $151.63	Professional		$151.63	$151.63	$151.63
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 $94.95 / $115.83 / $276.19	Professional		$94.95	$115.83	$276.19
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 $172.84 / $222.41 / $300.31	Facility		$172.84	$222.41	$300.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $244.01 / $343.72	Professional		$151.63	$244.01	$343.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $238.28	Facility		$106.02	$127.07	$238.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $168.12	Professional		$92.76	$92.76	$168.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $116.97 / $127.07	Professional		$92.76	$116.97	$127.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $104.50 / $136.99	Professional		$76.00	$104.50	$136.99
United Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $97.72 / $141.12	Professional		$67.25	$97.72	$141.12