Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.23 / $613.23 / $613.23	Facility		$613.23	$613.23	$613.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.41 / $340.13 / $524.76	Professional		$243.41	$340.13	$524.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $333.50 / $466.90	Professional		$307.64	$333.50	$466.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $329.18 / $506.92	Professional		$235.13	$329.18	$506.92
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $333.50 / $333.50 / $333.50	Professional		$333.50	$333.50	$333.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.50 / $400.20 / $498.27	Facility		$333.50	$400.20	$498.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.50 / $433.94 / $770.17	Professional		$333.50	$433.94	$770.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.47 / $401.00 / $656.74	Professional		$280.47	$401.00	$656.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $284.87 / $406.64 / $643.16	Professional		$284.87	$406.64	$643.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $347.48 / $493.40	Professional		$267.60	$347.48	$493.40
United Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $312.27 / $548.46	Professional		$232.99	$312.27	$548.46