Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $95.58 / $252.00	Facility		$95.58	$95.58	$252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $95.58 / $143.53	Professional		$93.15	$95.58	$143.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $116.63 / $116.63	Professional		$116.63	$116.63	$116.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.79 / $215.30 / $557.83	Facility		$183.79	$215.30	$557.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $117.56 / $258.36	Professional		$98.06	$117.56	$258.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $195.73 / $274.02	Facility		$146.80	$195.73	$274.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $194.15 / $419.10	Professional		$130.63	$194.15	$419.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $255.06	Facility		$122.31	$122.31	$255.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $156.25	Professional		$89.29	$89.29	$156.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $122.31	Professional		$89.29	$122.31	$122.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $114.16 / $149.67	Professional		$83.03	$114.16	$149.67
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $97.65 / $150.47	Professional		$65.09	$97.65	$150.47