Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.40 / $783.54 / $1,283.67	Facility		$383.40	$783.54	$1,283.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.57 / $341.76 / $897.27	Professional		$262.57	$341.76	$897.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $156.29 / $156.29	Professional		$156.29	$156.29	$156.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.02 / $450.12 / $737.58	Facility		$368.02	$450.12	$737.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.16 / $274.99 / $572.91	Professional		$229.16	$274.99	$572.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $335.51 / $335.51	Professional		$335.51	$335.51	$335.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $479.30 / $625.16	Facility		$416.78	$479.30	$625.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $541.80 / $910.90	Professional		$416.78	$541.80	$910.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.85 / $474.09 / $2,378.59	Facility		$428.85	$474.09	$2,378.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $374.96 / $816.39	Professional		$211.84	$374.96	$816.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $502.19 / $1,580.30	Facility		$310.14	$502.19	$1,580.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $320.45 / $816.39	Professional		$203.60	$320.45	$816.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.21 / $375.10 / $515.77	Professional		$328.21	$375.10	$515.77
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $572.91	Professional		$175.05	$250.07	$572.91