Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $97.25 / $227.00	Facility		$97.25	$97.25	$227.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $97.25 / $133.96	Professional		$94.79	$97.25	$133.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $149.38	Professional		$149.38	$149.38	$149.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $219.09 / $567.63	Facility		$187.02	$219.09	$567.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $111.76 / $258.92	Professional		$99.79	$111.76	$258.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.38 / $199.17 / $268.88	Facility		$149.38	$199.17	$268.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $180.24 / $426.46	Professional		$130.18	$180.24	$426.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $234.70	Facility		$120.62	$120.62	$234.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $154.09	Professional		$88.05	$88.05	$154.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $120.62	Professional		$88.05	$120.62	$120.62
United Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $99.37 / $159.58	Professional		$66.23	$99.37	$159.58