Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.05 / $70.05 / $461.00	Facility		$70.05	$70.05	$461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $70.05 / $90.25	Professional		$64.43	$70.05	$90.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $233.50 / $233.50	Professional		$100.00	$233.50	$233.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $78.77 / $141.13	Professional		$68.50	$78.77	$141.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.88 / $265.32 / $328.39	Facility		$176.88	$265.32	$328.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $115.72 / $229.94	Professional		$74.88	$115.72	$229.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $157.22 / $216.18	Professional		$131.02	$157.22	$216.18
United Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $200.48 / $324.17	Professional		$125.78	$200.48	$324.17