Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.57 / $115.57 / $268.00	Facility		$115.57	$115.57	$268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $115.57 / $161.86	Professional		$96.87	$115.57	$161.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $144.41 / $144.41	Professional		$144.41	$144.41	$144.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $260.35 / $674.54	Facility		$222.24	$260.35	$674.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $118.58 / $307.68	Professional		$115.65	$118.58	$307.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $236.68 / $319.52	Facility		$163.66	$236.68	$319.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $213.01 / $506.78	Professional		$153.84	$213.01	$506.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $258.23	Facility		$126.98	$126.98	$258.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $196.79	Professional		$92.70	$92.70	$196.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $126.98 / $126.98	Professional		$92.70	$126.98	$126.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $138.06 / $180.99	Professional		$100.40	$138.06	$180.99
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $118.07 / $150.22	Professional		$78.72	$118.07	$150.22