Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.24 / $227.61 / $629.79	Facility		$156.24	$227.61	$629.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $114.33 / $274.24	Professional		$98.65	$114.33	$274.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $127.46 / $207.19	Professional		$127.46	$127.46	$207.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.82 / $193.56 / $220.94	Facility		$182.82	$193.56	$220.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $108.99 / $181.53	Professional		$87.45	$108.99	$181.53
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $157.46 / $157.46	Professional		$157.46	$157.46	$157.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $102.45 / $179.90	Facility		$33.90	$102.45	$179.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $96.68 / $133.22	Professional		$36.54	$96.68	$133.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.36 / $201.15 / $292.58	Facility		$140.36	$201.15	$292.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $165.56 / $278.58	Professional		$111.25	$165.56	$278.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $154.58 / $227.04 / $698.95	Facility		$154.58	$227.04	$698.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $163.88 / $277.24	Professional		$114.88	$163.88	$277.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $115.99 / $181.25	Professional		$40.43	$115.99	$181.25
United Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $150.81 / $247.94	Professional		$95.08	$150.81	$247.94