Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.73 / $1,556.64 / $3,175.12	Facility		$241.73	$1,556.64	$3,175.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $205.68 / $258.64	Professional		$118.51	$205.68	$258.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $166.76 / $248.14	Professional		$164.83	$166.76	$248.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $164.86 / $514.32	Professional		$109.27	$164.86	$514.32
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $177.24 / $177.24 / $177.24	Professional		$177.24	$177.24	$177.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.57 / $288.16 / $373.65	Facility		$251.57	$288.16	$373.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $276.73 / $352.20	Professional		$185.31	$276.73	$352.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $285.68 / $285.68	Facility		$285.68	$285.68	$285.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.39 / $298.19 / $650.17	Professional		$213.39	$298.19	$650.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $1,179.40 / $3,872.92	Facility		$285.68	$1,179.40	$3,872.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $224.05 / $288.70 / $474.55	Professional		$224.05	$288.70	$474.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $183.02 / $261.45	Professional		$122.23	$183.02	$261.45
United Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $131.85 / $288.57	Professional		$67.50	$131.85	$288.57