Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.31 / $163.00	Facility		$67.31	$67.31	$163.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $67.31 / $82.89	Professional		$59.79	$67.31	$82.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $103.40 / $103.40	Professional		$103.40	$103.40	$103.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $151.65 / $392.90	Facility		$129.44	$151.65	$392.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $74.98 / $179.21	Professional		$67.26	$74.98	$179.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $117.18 / $117.18	Professional		$117.18	$117.18	$117.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.64 / $137.86 / $186.11	Facility		$101.64	$137.86	$186.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $124.07 / $295.19	Professional		$89.61	$124.07	$295.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $158.81	Facility		$89.19	$89.19	$158.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $113.94	Professional		$65.11	$65.11	$113.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $89.19 / $89.19	Professional		$65.11	$89.19	$89.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $80.43 / $105.44	Professional		$58.49	$80.43	$105.44
United Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $68.78 / $93.18	Professional		$45.85	$68.78	$93.18