Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $282.17 / $458.82	Professional		$218.58	$282.17	$458.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $111.47 / $141.09 / $173.99	Professional	52	$111.47	$141.09	$173.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $272.00 / $339.99	Professional		$252.56	$272.00	$339.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $265.26 / $410.22	Professional		$187.89	$265.26	$410.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $276.55 / $276.55 / $276.55	Professional		$276.55	$276.55	$276.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.55 / $331.86 / $412.79	Facility		$276.55	$331.86	$412.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.55 / $359.94 / $638.04	Professional		$276.55	$359.94	$638.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.75 / $331.86 / $549.64	Professional		$230.75	$331.86	$549.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $235.59 / $340.00 / $532.98	Professional		$235.59	$340.00	$532.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.10 / $311.90 / $446.12	Professional		$240.10	$311.90	$446.12
United Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $260.80 / $444.66	Professional		$188.13	$260.80	$444.66