Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $642.00 / $991.98	Facility		$257.45	$642.00	$991.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $224.38 / $568.44	Professional		$162.19	$224.38	$568.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $154.47	Professional		$154.47	$154.47	$154.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.33 / $278.05 / $455.61	Facility		$227.33	$278.05	$455.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $158.91 / $370.74	Professional		$127.14	$158.91	$370.74
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $162.19 / $162.19	Facility		$162.19	$162.19	$162.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $321.81 / $386.18	Facility		$257.45	$321.81	$386.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $334.69 / $551.25	Professional		$257.45	$334.69	$551.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $324.64 / $1,469.25	Facility		$264.89	$324.64	$1,469.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $231.76 / $498.82	Professional		$130.93	$231.76	$498.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $466.61 / $995.95	Facility		$264.89	$466.61	$995.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $197.95 / $498.82	Professional		$130.93	$197.95	$498.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.74 / $231.70 / $318.59	Professional		$202.74	$231.70	$318.59
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $154.47 / $415.27	Professional		$108.13	$154.47	$415.27