Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $239.88	Facility		$70.79	$120.23	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $128.82	Professional		$58.88	$77.62	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $131.83	Professional		$91.20	$91.20	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $154.88 / $316.23	Facility		$147.91	$154.88	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $186.21	Professional		$70.79	$91.20	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $131.83 / $208.93	Facility		$87.10	$131.83	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $239.88	Professional		$114.82	$158.49	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $128.82	Facility		$125.89	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Professional		$109.65	$109.65	$128.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $128.82	Facility		$125.89	$128.82	$128.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $138.04	Professional		$69.18	$95.50	$138.04
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $302.00	Professional		$147.91	$165.96	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $109.65 / $165.96	Facility		$66.07	$109.65	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $112.20	Professional		$47.86	$72.44	$112.20