Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.05 / $706.38 / $1,867.47	Facility		$242.05	$706.38	$1,867.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $233.96 / $284.87	Professional		$198.34	$233.96	$284.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $223.22 / $320.98	Professional		$195.52	$223.22	$320.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $296.17 / $435.50	Professional		$86.32	$296.17	$435.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $229.27 / $229.27 / $229.27	Professional		$229.27	$229.27	$229.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.12 / $285.33 / $370.01	Facility		$249.12	$285.33	$370.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $274.02 / $348.77	Professional		$247.07	$274.02	$348.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $287.45	Facility		$287.45	$287.45	$287.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.72 / $327.72 / $744.44	Professional		$243.72	$327.72	$744.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $132.86 / $300.93 / $1,149.16	Facility		$132.86	$300.93	$1,149.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $246.84 / $326.77 / $457.37	Professional		$246.84	$326.77	$457.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $244.02 / $348.60	Professional		$162.97	$244.02	$348.60
United Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $61.88 / $265.76	Professional		$34.29	$61.88	$265.76