Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $365.94 / $567.62	Facility		$155.72	$365.94	$567.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $202.94 / $474.30	Professional		$147.56	$202.94	$474.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $163.47 / $224.38	Professional		$115.40	$163.47	$224.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $204.57 / $336.96	Professional		$172.86	$204.57	$336.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $189.12 / $293.29	Professional		$189.12	$189.12	$293.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.27 / $195.79 / $238.04	Facility		$160.27	$195.79	$238.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.27 / $204.69 / $370.67	Professional		$160.27	$204.69	$370.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.29 / $261.29 / $261.29	Facility		$261.29	$261.29	$261.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $220.87 / $389.30	Professional		$157.47	$220.87	$389.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $261.29 / $261.29 / $261.29	Facility		$261.29	$261.29	$261.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.27 / $224.23 / $411.72	Professional		$160.27	$224.23	$411.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $194.96 / $260.45	Professional		$149.36	$194.96	$260.45
United Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $180.97 / $328.85	Professional		$105.06	$180.97	$328.85