Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.91 / $345.91 / $345.91	Facility		$345.91	$345.91	$345.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $196.80 / $332.76	Professional		$164.43	$196.80	$332.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $187.37 / $213.84	Professional		$174.25	$187.37	$213.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.29 / $187.36 / $297.85	Professional		$137.29	$187.36	$297.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $190.27 / $190.27 / $190.27	Professional		$190.27	$190.27	$190.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.27 / $228.32 / $282.60	Facility		$190.27	$228.32	$282.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.84 / $266.38	Professional		$173.08	$237.84	$266.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $237.84 / $380.54	Professional		$172.16	$237.84	$380.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $176.87 / $245.45 / $372.93	Professional		$176.87	$245.45	$372.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $207.93 / $297.41	Professional		$160.07	$207.93	$297.41
United Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $198.50 / $342.04	Professional		$145.37	$198.50	$342.04