Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $645.65	Professional		$204.17	$309.03	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $416.87	Professional		$239.88	$281.84	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $426.58	Professional		$208.93	$269.15	$426.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $354.81 / $467.74	Facility		$281.84	$354.81	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $660.69	Professional		$281.84	$363.08	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $602.56	Professional		$234.42	$338.84	$602.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $537.03	Professional		$229.09	$331.13	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $707.95	Professional		$316.23	$371.54	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $446.68	Professional		$186.21	$257.04	$446.68