Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $73.95 / $155.00	Facility		$73.95	$73.95	$155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $73.95 / $101.82	Professional		$72.08	$73.95	$101.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $113.60 / $113.60	Professional		$113.60	$113.60	$113.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $166.61 / $431.66	Facility		$142.22	$166.61	$431.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $82.73 / $196.89	Professional		$73.87	$82.73	$196.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.60 / $151.46 / $204.47	Facility		$113.60	$151.46	$204.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $137.02 / $324.31	Professional		$98.96	$137.02	$324.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $178.40	Facility		$98.15	$98.15	$178.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $125.39	Professional		$71.65	$71.65	$125.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $98.15 / $98.15	Professional		$71.65	$98.15	$98.15
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $75.56 / $118.70	Professional		$50.37	$75.56	$118.70