Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $238.59	Facility		$70.80	$70.80	$238.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $70.80 / $97.98	Professional		$53.28	$70.80	$97.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $131.93 / $131.93	Professional		$86.39	$131.93	$131.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.15 / $159.49 / $413.22	Facility		$136.15	$159.49	$413.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $84.85 / $191.38	Professional		$70.70	$84.85	$191.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.74 / $149.34 / $202.99	Facility		$108.74	$149.34	$202.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $144.99 / $310.45	Professional		$101.49	$144.99	$310.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $206.14	Facility		$126.00	$128.85	$206.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $128.85	Professional		$109.52	$109.52	$128.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $128.85	Facility		$126.00	$128.85	$128.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $128.85 / $128.85	Professional		$109.52	$128.85	$128.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $92.02 / $120.64	Professional		$66.92	$92.02	$120.64
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $72.34 / $111.46	Professional		$48.22	$72.34	$111.46