Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $414.87 / $632.96	Facility		$176.54	$414.87	$632.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $261.80 / $501.40	Professional		$165.59	$261.80	$501.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $193.35 / $254.76	Professional		$145.58	$193.35	$254.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $231.48 / $383.49	Professional		$189.40	$231.48	$383.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $214.72 / $333.01	Professional		$214.72	$214.72	$333.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $222.45 / $270.27	Facility		$181.97	$222.45	$270.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $232.10 / $420.01	Professional		$181.97	$232.10	$420.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.04 / $293.04 / $293.04	Facility		$293.04	$293.04	$293.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.01 / $248.74 / $437.22	Professional		$177.01	$248.74	$437.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $293.04 / $293.04 / $293.04	Facility		$293.04	$293.04	$293.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $182.12 / $256.89 / $523.45	Professional		$182.12	$256.89	$523.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.48 / $194.96 / $260.45	Professional		$149.48	$194.96	$260.45
United Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $210.31 / $373.97	Professional		$148.91	$210.31	$373.97